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

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

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 Mien. 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 form?
A: The MC380 Notice of Authorized Representative Appointment form is a document used in California to appoint an authorized representative for a Mien resident.

Q: Who can use the MC380 Notice of Authorized Representative Appointment form?
A: This form can be used by Mien residents in California who wish to appoint an authorized representative to assist them in certain matters.

Q: What is the purpose of appointing an authorized representative?
A: The purpose of appointing an authorized representative is to allow someone else to act on your behalf for certain matters, such as dealing with government agencies or healthcare providers.

Q: What information is required on the MC380 form?
A: The MC380 form requires the Mien resident's name, address, contact information, and the name and contact information of the authorized representative.

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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 (Mien)

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