Appointment Of Agent Form

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APPOINTMENT OF AGENT
KNOW ALL MEN BY THESE PRESENTS:
That
(Company Name)
(Account Number)
Having its principal address at:
Does hereby appoint on this
day of
20
Agent name and address:
as its agent to act in its name and its behalf regarding all matters pertaining to the operation of
the Alaska Unemployment Compensation Law, as it affects the said company, and to receive
directly any and all information upon request which the said company itself is entitled to receive.
This Appointment of Agent cancels and supersedes all prior Appointment of Agents.
By:
(Authorized Responsible Party)
Title:
Be it known, that on this
day of
20
, the above
personally appeared before me and acknowledged the within instrument to be a free act and
deed. In testimony whereof, I have hereunto set my hand and seal.
Signed:
NOTARY PUBLIC in and for the
State of
My commission expires:
(Seal)

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Parent category: Business
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