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 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.
Form Details:
Download a fillable version of Form MSC2099 by clicking the link below or browse more documents and templates provided by the Oregon Health Authority.