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Form DMHC20-160 Authorized Assistant Form - California
What Is Form DMHC20-160?
This is a legal form that was released by the California Department of Managed Health Care - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DMHC20-160?A: DMHC20-160 is the abbreviation for the Form DMHC20-160 Authorized Assistant Form.
Q: What is the purpose of the DMHC20-160 form?A: The DMHC20-160 form is used to authorize someone to act as an assistant to a person in their dealings with the California Department of Managed Health Care (DMHC).
Q: Who can use the DMHC20-160 form?A: Any individual who wants to appoint an authorized assistant to represent them in their interactions with DMHC can use this form.
Q: Is there a fee for submitting the DMHC20-160 form?A: No, there is no fee for submitting the DMHC20-160 form.
Q: Are there any eligibility requirements for the authorized assistant?A: The authorized assistant must be 18 years or older and capable of acting on behalf of the person authorizing their assistance.
Q: Can I revoke the authorization of the assistant?A: Yes, the person authorizing the assistant can revoke the authorization at any time by submitting a written notice to DMHC.
Q: How long is the authorization valid?A: The authorization is valid for one year from the date it is signed, unless revoked sooner.
Q: What are the responsibilities of an authorized assistant?A: An authorized assistant is responsible for representing the person they are assisting in their interactions with DMHC, which may include submitting documents and communicating with DMHC on their behalf.
Q: Is there any additional documentation required with the DMHC20-160 form?A: No, the DMHC20-160 form can be submitted on its own without any additional documentation.
Form Details:
- Released on January 1, 2020;
- The latest edition provided by the California Department of Managed Health Care;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DMHC20-160 by clicking the link below or browse more documents and templates provided by the California Department of Managed Health Care.
