Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Punjabi)

Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Punjabi)

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 Punjabi. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the MC381 form?
A: The MC381 form is a Cancellation or Change to a Medi-Cal Authorized Representative Appointment form in California.

Q: What does the MC381 form allow you to do?
A: The MC381 form allows you to cancel or make changes to your authorized representative appointment for Medi-Cal in California.

Q: Who should use the MC381 form?
A: Individuals who have a authorized representative for their Medi-Cal benefits in California and want to cancel or update their appointment should use the MC381 form.

Q: Can I find the MC381 form in Punjabi?
A: Yes, the MC381 form is available in Punjabi.

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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 MC381 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Punjabi)

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  • Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Punjabi), Page 1
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