Form MC380 Notice of Authorized Representative Appointment - California (Chinese)

Form MC380 Notice of Authorized Representative Appointment - California (Chinese)

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California.

The document is provided in Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the MC380 Notice of Authorized Representative Appointment?A: The MC380 Notice of Authorized Representative Appointment is a form used in California to appoint an authorized representative to act on behalf of an applicant or recipient of public assistance benefits.

Q: Who can use the MC380 form?A: The MC380 form can be used by individuals who are applying for or receiving public assistance benefits in California, such as CalFresh, Medi-Cal, or CalWORKs.

Q: What is the purpose of appointing an authorized representative?A: Appointing an authorized representative allows someone else to act on your behalf in matters related to your public assistance benefits, such as completing applications, providing documentation, or attending appointments.

Q: Do I need to have the MC380 form notarized?A: No, the MC380 form does not require notarization. However, some county offices may have their own procedures or requirements for submitting the form.

Q: Can I change or revoke my authorized representative?A: Yes, you can change or revoke your authorized representative at any time by submitting a new MC380 form to your county social services office.

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Form Details:

  • Released on September 1, 2021;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form MC380 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC380 Notice of Authorized Representative Appointment - California (Chinese)

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