Form

Authorise someone to deal with the Adjudicator's Office for you

Use the authority to act form to tell the Adjudicator's Office you want someone else to represent you, like an accountant, friend, or relative.

From:
The Adjudicator’s Office
Published
5 December 2013
Last updated
15 September 2023 — See all updates

Documents

Authority to act PDF

PDF, 283 KB, 1 page

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Authority to act

ODT, 28.4 KB

This file is in an OpenDocument format

This file may not be suitable for users of assistive technology.

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email [email protected]. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

Use this form to authorise someone else to deal with the Adjudicator’s Office for you.

You will need to print it and fill in the details of the person you want to represent you.

Post your completed form to:

The Adjudicator's Office
PO Box 11222
Nottingham
NG2 9AD

If you have any questions about this form or need it in a different language or format, contact us.

Updates to this page

Published 5 December 2013
Last updated 15 September 2023 + show all updates

  1. Our address has been updated.

  2. Added Welsh translation Added accessible .odt version of English & Welsh attachments

  3. We have replaced the attachment with a newer version to meet accessibility requirements.

  4. First published.

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