Form MC383 Authorized Representative Standard Agreement for Organizations - California

Form MC383 Authorized Representative Standard Agreement for Organizations - California

What Is Form MC383?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form MC383?
A: The purpose of Form MC383 is to establish a standard agreement for authorized representatives of organizations in California.

Q: Who needs to use Form MC383?
A: Authorized representatives of organizations in California who are acting on behalf of their organization.

Q: What does Form MC383 require?
A: Form MC383 requires information about the organization, the authorized representative, and the scope of their authority.

Q: Is Form MC383 specific to California?
A: Yes, Form MC383 is specific to organizations in California.

Q: Can an individual be an authorized representative using Form MC383?
A: No, Form MC383 is only for authorized representatives of organizations.

Q: Are there any fees associated with Form MC383?
A: There are no fees associated with submitting Form MC383.

Q: Do I need to notarize Form MC383?
A: No, Form MC383 does not require notarization.

Q: Is there a deadline for submitting Form MC383?
A: There is no specific deadline for submitting Form MC383, but it should be done promptly when a new authorized representative is appointed.

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Form Details:

  • Released on June 1, 2018;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MC383 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC383 Authorized Representative Standard Agreement for Organizations - California

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