| Details | |
|---|---|
| Number | EMP5453 |
| Title | WEPP - Appointment of Representative |
| Purpose | This form is used to allow applicants to appoint a representative to apply for them is cases where they are medically incapacitated or are the beneficiary of a deceased applicant’s estate. |
| Group | Wage Earner Protection Program |
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Important Information Returning the Form | |
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