Power of Attorney – Right of access to file

"*" indicates required fields

I hereby authorize

Last name*

First Last

Relationship*

Relationship

to act on my behalf and sign for the following documents (check all that apply):

Sans titre*

permit

tax account

any other activities

access to all the information on my file

Personnel number*

Cadastral designation*

# Customer*

Address of the building*

Start date*

End date*

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