AUTHORIZED REPRESENTATIVE AGREEMENTAuthorized Representative Agreement • June 17th, 2020
Contract Type FiledJune 17th, 2020Instructions: The Employer of Record (EOR) may choose to have someone help with their duties in the Virginia Consumer‐Directed Services Program. The EOR role will not change if an Authorized Representative is used. A family member or friend can be in this role. Only submit this form if you are choosing someone to help you with Employer duties.