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The form collects applicant and agent organization details, mailing addresses, and selected acts and functions the agent may perform, including requesting relocations, obtaining invoices, receiving designs and contracts for approval, and representing the applicant at meetings. It specifies effect duration, modification requirements via a new form, submission of fully executed originals to SCE management, and legal declarations regarding authorization and liability.",{"@graph":63,"@context":110},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/confirmation-of-authorized-agent-to-act-on-behalf-of-applicant-for-distribution-and-joint-relocation-projects-form/287930/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/confirmation-of-authorized-agent-to-act-on-behalf-of-applicant-for-distribution-and-joint-relocation-projects-form/287930.png","ImageObject",442,249,{"name":88,"@type":89},"Bulrr","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-23","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104],{"name":105,"@type":106,"acceptedAnswer":107},"How long is the authorization effective?","Question",{"text":108,"@type":109},"The authorization remains effective until the date indicated or for the duration of the listed project(s), whichever occurs earlier.","Answer","https://schema.org",{"og:url":78,"og:type":112,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":114,"canonical":78},"index,follow",{"doc_id":116,"site_id":56},287930,1790146610,{"code":4,"msg":5,"data":119},{"doc_id":116,"user_id":120,"nickname":88,"user_avatar":121,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":122,"file_id":123,"file_url":124,"file_type":125,"file_size":126,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":127,"language":128,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":129,"faqs":130,"seo_title":131,"seo_description":61,"update_tm":132,"read_time":73},5909892115043,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","SUBJECT: SCE’S FORM-CONFIRMATION OF AUTHORIZED AGENT TO ACT ON BEHALF OF APPLICANT FOR DISTRIBUTION AND JOINT RELOCATION PROJECTS  \nBy executing the following form,“Confirmation of Authorized Agent to Act on Behalf of Applicant for Distribution and Joint 1 Relocation Projects” (the “Form”), the Applicant2 of Southern California Edison (“SCE”) confirms the authorization of a designated third-party authorized agent (“Authorized Agent”)3 to act on the Applicant’s behalf to acquire work order project information from SCE or to execute new SCE forms and other SCE documents as designated in the Form. The Form is designed to simplify the authorization process and protect the privacy rights of the Applicant.  \nAPPLICANT/AUTHORIZED AGENT INFORMATION  \n• The Form shall be completed and signed by a representative in the Applicant’s organization who has the authority to legally bind the Applicant (e.g., an executive officer of a corporation, the City Manager of a municipality, etc.) .  \n• The Form shall be completed and signed by a representative in the Authorized Agent’s organization who has the authority to legally bind the organization (e.g., an executive officer of a corporation) .  \n• List all the acts and functions (page 2) for all project(s) designated (page 5) for which the Authorized Agent is authorized to act upon on behalf of the Applicant. This authorization is in effect until the date indicated (page 3) or for the duration of the project(s) identified, whichever is earlier.  \n• The Applicant must immediately notify SCE in writing of any modification of the Authorized Agent’s authority by submitting a new Form. In the event that multiple Forms are on file, the most recently executed Form will supersede any and all previously signed Forms.  \n• Fully executed original Forms shall be provided to the SCE Planner, Project Manager, or Distribution Construction Contract Management. The Applicant may photocopy the Form for the Applicant’s records.  \nCity, State Zip  \nCompany Name  \nApplicant Name  \nAddress  \nThank you,  \nSOUTHERN CALIFORNIA EDISON  \n1 Include Transmission and Distribution or Communication.  \n2 An Applicant is the owner or developer requesting SCE to deliver/supply electric service.  \n3 An authorized Agent is a person(s) or an agency.  \nCONFIRMATION OF AUTHORIZED AGENT TO ACT ON BEHALF OF APPLICANT FOR DISTRIBUTION AND JOINT RELOCATION PROJECTS  \nTHIS IS A LEGALLY BINDING CONTRACT – READ IT CAREFULLY  \n(Please Print or Type)  \nI,   ,  \nAPPLICANT’S REPRESENTATIVE NAME AND TITLE  \nof    \nAPPLICANT  \nhave the following mailing address:  \n\n| APPLICANT’S MAILING ADDRESS CITY STATE ZIP\u003Cbr>do hereby appoint |\n| --- |\n| AUTHORIZED AGENT’S NAME AND TITLE (if multiple agents add names on page 6)\u003Cbr>of  \u003Cbr>AUTHORIZED AGENT’S COMPANY (if applicable)\u003Cbr>located at the following mailing address: |\n\nAUTHORIZED AGENT’S MAILING ADDRESS CITY STATE ZIP  \nto act as Applicant’s Authorized Agent for the project(s) as listed on the attached  sheet(s) .  \nI, Applicant, also hereby confirm that the above Authorized Agent is authorized to act on my behalf to perform the following acts and functions (initial all applicable) as specified below:  \n☐ * Request Facility Relocation (if applicable)  \n☐ * Obtain Project Invoice(s)  \n☐ * Receive final electrical design & contracts for approval and signatures by the Applicant  \n☐ * Represent applicant at all project meetings  \nIf only items above/in this section/with an asterisk* are checked, a notary is not required to execute this document  \n☐  \n☐  \n☐  \n☐  \n☐  \n☐  \nSign and apply for Temporary Service  \nSign Assignment of contract for Extension of Lines or Installation of Electric Facilities, Form C-200  \nSign Applicant Design Option Letter  \nSign Terms and Conditions Agreement for Installation of Line Extension by Applicant, Form 14-188  \nSign Distribution Line Extension Competitive Bidding – Letter of Understanding, Form 14-189  \nSign Distribution Line and/or Service Extension – Applicant’s Installa","cbCaid1SI9WvlebL","https://ap.wps.com/l/cbCaid1SI9WvlebL","pdf",1715925,6,"English","# Applicant/Authorized Agent Information\n## Authorized actions and functions (to initial/check)\n## Applicant legal declarations and liability release","[{\"question\":\"How long is the authorization effective?\",\"answer\":\"The authorization remains effective until the date indicated or for the duration of the listed project(s), whichever occurs earlier.\"}]","Confirmation of Authorized Agent to Act on Behalf of Applicant for Distribution and Joint Relocation Projects - Form | PDF",1789632894]