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Form MC380 Notice of Authorized Representative Appointment - California (Cambodian)
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 Cambodian. 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 someone as a representative for certain programs and benefits.
Q: Who can use the MC380 form?
A: Any individual in California who wants to appoint a representative for certain programs and benefits can use the MC380 form.
Q: What does it mean to appoint an authorized representative?
A: Appointing an authorized representative means giving someone the authority to act on your behalf and handle matters related to certain programs and benefits.
Q: What are the requirements for appointing an authorized representative?
A: The requirements may vary depending on the specific program or benefit, but generally, you will need to provide the representative's contact information and sign the form in the presence of a witness.
Q: Are there any fees associated with filing the MC380 form?
A: No, there are no fees associated with filing the MC380 form.
Q: Are there different language versions of the MC380 form?
A: Yes, the MC380 form is available in different languages, including Cambodian.
Q: Is the MC380 form specific to California?
A: Yes, the MC380 form is specific to California and cannot be used for programs and benefits in other states.
Q: Do I need to provide any supporting documents with the MC380 form?
A: In some cases, you may need to provide supporting documents, such as identification or proof of eligibility for the programs and benefits.
Q: How long does it take for the MC380 form to be processed?
A: The processing time may vary, but it is generally recommended to submit the form as early as possible to avoid delays in appointing the authorized representative.
Form Details:
- Released on September 1, 2021;
- 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;
Download a fillable version of Form MC380 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form MC380 Notice of Authorized Representative Appointment - California (Cambodian)
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