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