You are entitled to be represented in this appeal by the individual or organization of your choice, unless your choice results in a conflict of interest for the person or organization chosen.

This office does not designate a representative for you. You must choose your own representative. If you decide to appoint a representative, make sure that your representative is able to proceed on your behalf so that a timely decision can be issued.

As a general rule, continuances or extensions of time will not be granted to allow you to obtain a representative.

A representative may assist and counsel you in the preparation and presentation of your appeal. Your representative may appear with you or for you at hearings or other proceedings before this Office.

When you designate a representative, you give this Office your permission to disclose all information concerning your appeal to your representative.

Once you identify your representative, this Office will only communicate with your representative regarding your appeal.

If you do not complete and return this form, or similar statements in writing, this Office will not release information or permit your representative to represent you in your appeal.