Dpa 19 2026

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4.6 out of 5

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The document is an authorization form from the California Department of Social Services allowing an individual to appoint a representative for their appeal regarding assistance programs. It outlines the requirements for attending a hearing, the importance of representation, and the process for submitting the authorization. Additionally, it provides information on the continuation of assistance during the appeal process.

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Click ‘Get Form’ to open the dpa 19 in the editor.
Begin by filling in your name and address in the designated fields. Ensure that all information is accurate to avoid any delays.
Next, provide the name and address of the organization or person you are authorizing to act on your behalf. This is crucial for proper representation.
Indicate the specific assistance program related to your appeal. This helps clarify the context of your request.
Finally, sign and date the form at the bottom. Your signature confirms your authorization for the representative.

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