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This version of the form is not currently in use and is provided for reference only. Download this version of
Form IM-6AR
for the current year.
Form IM-6AR Appointing an Authorized Representative - Missouri
What Is Form IM-6AR?
This is a legal form that was released by the Missouri Department of Social Services - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form IM-6AR?
A: Form IM-6AR is a document used in Missouri to appoint an authorized representative for medical assistance programs.
Q: Who can fill out Form IM-6AR?
A: The individual applying for or receiving medical assistance benefits can fill out Form IM-6AR.
Q: What is the purpose of appointing an authorized representative?
A: Appointing an authorized representative allows someone else to act on behalf of the individual applying for or receiving medical assistance.
Q: What information is required on Form IM-6AR?
A: Form IM-6AR requires the individual's name, address, Social Security number, and the name and contact information of the authorized representative.
Form Details:
- Released on April 1, 2022;
- The latest edition provided by the Missouri Department of Social Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form IM-6AR by clicking the link below or browse more documents and templates provided by the Missouri Department of Social Services.
Download Form IM-6AR Appointing an Authorized Representative - Missouri
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