Form MSC2099 Authorization for Use and Disclosure of Individual Information - Oregon (Cambodian)

Form MSC2099 Authorization for Use and Disclosure of Individual Information - 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 MSC2099?
A: Form MSC2099 is Authorization for Use and Disclosure of Individual Information - Oregon (Cambodian).

Q: What is the purpose of Form MSC2099?
A: The purpose of Form MSC 2099 is to authorize the use and disclosure of personal information in the state of Oregon for Cambodian individuals.

Q: Who needs to fill out Form MSC2099?
A: Cambodian individuals in Oregon who wish to authorize the use and disclosure of their personal information need to fill out Form MSC2099.

Q: Is Form MSC2099 only for residents of Oregon?
A: Yes, Form MSC2099 is specifically for individuals residing in the state of Oregon.

Q: What language is Form MSC2099 available in?
A: Form MSC2099 is available in Cambodian language.

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Form Details:

  • Released on October 1, 2017;
  • 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 MSC2099 by clicking the link below or browse more documents and templates provided by the Oregon Health Authority.

Download Form MSC2099 Authorization for Use and Disclosure of Individual Information - Oregon (Cambodian)

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