This is a legal form that was released by the Oregon Health Authority - a government authority operating within Oregon.
The document is provided in Korean. 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 the Authorization for Use and Disclosure of Individual Information specifically for Oregon, but translated into Korean.
Q: What is the purpose of Form MSC2099?
A: The purpose of Form MSC2099 is to provide consent for the use and disclosure of an individual's personal information.
Q: Who is this form intended for?
A: This form is intended for individuals in Oregon who prefer to use the Korean language for the authorization process.
Q: What information is included in this form?
A: This form includes the individual's personal information, the specific purpose of the disclosure, and the duration of the authorization.
Q: Is this form legally binding?
A: Yes, once signed and executed, this form becomes a legally binding authorization.
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.