Representative Information [CET]
Representative Information is as follows. The required information is bold.
- Rep LastName
- Rep FirstName
- Rep MI
- Rep Suffix
- Rep SSN
- Rep EstateTaxID
- Complete Rep Address
- Rep Relationship
- valid relationship values (choose only one)
- Guardian/Admin
- Other
- Relative
A Representative is only required if the Claimant is deceased.
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