[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-279912-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-279912-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","consent-form-template-consent-to-be-included-in-group-exemption-letter","Consent Form Template - Consent to Be Included in Group Exemption Letter","","Consent to be included in a group exemption letter from the Internal Revenue Service. The form authorizes a Chapter of the American Student Dental Association to be included under the Central Organization’s group exemption, including relinquishment of any prior separate tax-exempt status. It requires the Chapter to take all necessary steps and provide required information to establish and maintain the group exemption, with fields for date, chapter name, president signature, and the chapter’s federal identification number.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/letters/","Letters",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/consent-form-template-consent-to-be-included-in-group-exemption-letter/279912/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/consent-form-template-consent-to-be-included-in-group-exemption-letter/279912.png","ImageObject",442,249,{"name":42,"@type":43},"McQueen","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-25","2026-09-16",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",11,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What does the chapter authorize in this consent form?","Question",{"text":63,"@type":64},"The chapter authorizes the Central Organization to include the chapter in the group exemption letter issued to the Central Organization by the Internal Revenue Service.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What happens if the chapter previously had separate tax-exempt status?",{"text":68,"@type":64},"The chapter relinquishes that separate tax-exempt status in favor of being included in the group exemption.",{"name":70,"@type":61,"acceptedAnswer":71},"What information and actions must the chapter provide?",{"text":72,"@type":64},"The chapter represents that it will take all necessary steps and provide the Central Organization with information needed to establish and maintain the group exemption.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},279912,1790300936,{"code":4,"msg":82,"data":83},"success",[84,88,93,98,103,108,113,117,122],{"id":55,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":110,"show_sort_weight":111,"slug":112},17,"Forms",40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":115,"slug":116},18,30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":114,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":4},5909890329169,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","CONSENT TO BE INCLUDED  \nIN  \nGROUP EXEMPTION LETTER  \nThe undersigned organization, being a Chapter of the American Student Dental Association (the “Central Organization”), as described in Internal Revenue Service Publication 557 for purposes of establishing group exemption, does hereby authorize the Central Organization to include the Chapter in the group exemption letter issued to the Central Organization by the Internal Revenue Service. If the undersigned Chapter previously obtained separate tax-exempt status from the Internal Revenue Service, it hereby relinquishes it in favor of inclusion in the group exemption. The undersigned organization further represents and warrants that it will take any and all steps necessary and provide the Central Organization with information necessary to establish and maintain the group exemption.  \nDated:    \nNAME OF CHAPTER:  \nASDA Chapter  \nBy:    \nChapter President (Signature)  \nInsert the Federal Identification Number of the Chapter here:    \nK:\\Chapters\\Group Exemption\\Group Exemption Forms\\Consent Form Template.doc","cbCaisWSkn9UE9Dc","https://ap.wps.com/l/cbCaisWSkn9UE9Dc","pdf",50074,"English","# Consent to Be Included\n## Authorization and Relinquishment\n## Representations, Warranties, and Obligations\n## Signature and Identification Fields","[{\"question\":\"What does the chapter authorize in this consent form?\",\"answer\":\"The chapter authorizes the Central Organization to include the chapter in the group exemption letter issued to the Central Organization by the Internal Revenue Service.\"},{\"question\":\"What happens if the chapter previously had separate tax-exempt status?\",\"answer\":\"The chapter relinquishes that separate tax-exempt status in favor of being included in the group exemption.\"},{\"question\":\"What information and actions must the chapter provide?\",\"answer\":\"The chapter represents that it will take all necessary steps and provide the Central Organization with information needed to establish and maintain the group exemption.\"}]","Consent Form Template - Consent to Be Included in Group Exemption Letter | PDF",1789529768]