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Agent acknowledgement form

Agent acknowledgement 2026

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4.8 out of 5

86 votes

The document is an acknowledgment form for agents acting under a Power of Attorney related to the Commonwealth of Pennsylvania's Public School Employees' Retirement System. It outlines the agent's responsibilities to act in accordance with the principal's expectations and best interests, and requires the agent's signature and printed name.

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Click ‘Get Form’ to open the agent acknowledgement in the editor.
In the first field, enter your name as the agent. This identifies you as the person acting on behalf of the principal.
Review the attached power of attorney document carefully to ensure you understand your responsibilities and authority.
In the 'Agent’s Signature' field, sign your name to acknowledge that you will act in accordance with the principal's expectations and best interests.
Fill in the 'Date' field with the current date when you are completing this form.
Finally, print your name in the 'Agent’s Printed Name' section for clarity and verification.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (86 Votes)
2014	4 Satisfied (59 Votes)

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