Form MSC0231 Authorized Representative and Alternate Payee - Oregon (Cambodian)

Form MSC0231 Authorized Representative and Alternate Payee - Oregon (Cambodian)

This is a legal form that was released by the Oregon Health Authority - a government authority operating within Oregon.

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 Form MSC0231?
A: Form MSC0231 is a document used in Oregon to appoint an authorized representative and alternate payee.

Q: Who can use Form MSC0231?
A: This form is used by individuals in Oregon who are Cambodian and need to designate an authorized representative and alternate payee for certain benefits or services.

Q: What is the purpose of appointing an authorized representative and alternate payee?
A: Appointing an authorized representative and alternate payee allows someone you trust to have access to your benefits or services on your behalf.

Q: How do I complete Form MSC0231?
A: You need to provide your personal information, the information of your authorized representative and alternate payee, and sign the form.

Q: Is there a fee to submit Form MSC0231?
A: No, there is no fee to submit Form MSC0231.

Q: Can I change or revoke my authorized representative and alternate payee?
A: Yes, you can change or revoke your authorized representative and alternate payee at any time by submitting a new form.

Q: Is Form MSC0231 specific to Oregon?
A: Yes, Form MSC0231 is specific to Oregon and may not be used in other states.

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Form Details:

  • Released on April 1, 2020;
  • The latest edition provided by the Oregon Health Authority;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form MSC0231 by clicking the link below or browse more documents and templates provided by the Oregon Health Authority.

Download Form MSC0231 Authorized Representative and Alternate Payee - Oregon (Cambodian)

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