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For a Power of Attorney

This form is for use by any individual or legal entity wishing to grant a power of attorney to a designated person to give them access to confidential information or documents that the Western Quebec School Board (WQSB) holds about him/her or to allow them to act on his/her behalf with the WQSB.

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PROPERTY INFORMATION

Address of property*(Required)

INFORMATION ON THE DESIGNATED INDIVIDUAL OR LEGAL ENTITY

Full name (first and last name of the individual OR business name)*(Required)

AUTHORIZATION FROM OWNER

Full name (first and last name of the individual OR business name)*(Required)

REASON FOR THE REQUEST

(attach document to form, if applicable)
Please tick the box corresponding to your request:*(Required)
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Drop files here or
Max. file size: 64 MB.