AUT-01 Authorize a Representative for Offline Access

Ways to get the form

• Download and fill out with Acrobat Reader

  You must download and open fillable PDFs in Acrobat Reader 10 or higher.

  • Accessible Fillable PDF (aut-01-fill-25e.pdf)

• Print and fill out by hand

  • Standard print PDF (aut-01-25e.pdf)
  • Large print PDF (aut-01-lp-25e.pdf)

• Download and listen

  Use your preferred screen reader to listen to the e-text file.

  • E-text (aut-01-25e.txt)

• Ask for an alternate format

  You can order alternate formats such as digital audio, electronic text, braille, and large print.

  • Order alternate formats for persons with disabilities