Form MC380 Notice of Authorized Representative Appointment - California (Chinese)

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California.

The document is provided in Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the MC380 Notice of Authorized Representative Appointment?
A: The MC380 Notice of Authorized Representative Appointment is a form used in California to appoint an authorized representative to act on behalf of an applicant or recipient of public assistance benefits.

Q: Who can use the MC380 form?
A: The MC380 form can be used by individuals who are applying for or receiving public assistance benefits in California, such as CalFresh, Medi-Cal, or CalWORKs.

Q: What is the purpose of appointing an authorized representative?
A: Appointing an authorized representative allows someone else to act on your behalf in matters related to your public assistance benefits, such as completing applications, providing documentation, or attending appointments.

Q: Do I need to have the MC380 form notarized?
A: No, the MC380 form does not require notarization. However, some county offices may have their own procedures or requirements for submitting the form.

Q: Can I change or revoke my authorized representative?
A: Yes, you can change or revoke your authorized representative at any time by submitting a new MC380 form to your county social services office.