irp21.pdf

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File name: 

irp21.pdf

Form ID: 

IRP-21

Purpose: 

For NY IRP account holders requesting 30-day temporary authority while NY IRP application is being filed. Application forms and this form must be faxed to (518) 486-6579. See IRP instruction manual for more information.

Form title: 

IRP Temporary Authority (TA) Request Form (Attachment B)

Document type: 

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