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.
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.
Form Details:
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.