DOH Formulario 422-186 Representante Autorizado - Washington (Spanish)

Qué es DOH Formulario 422-186?

Este es un formulario legal que fue publicado por el Washington State Department of Health, una autoridad gubernamental que opera dentro de Washington. A partir de hoy, el departamento emisor no proporciona en separado pautas de presentación para el formulario.

Detalles del formulario:

• Publicado el 1 de enero de 2021;
• La última versión proporcionada por el Washington State Department of Health;
• Lista para utilizar e imprimir;
• Disponible en English;
• Fácil de personalizar;
• Compatible con la mayoría de las aplicaciones para visualizar PDF;
• Complete este formulario en línea.

Descargue una versión del DOH Formulario 422-186 haciendo clic en el enlace debajo o busque más documentos y plantillas proporcionados por el Washington State Department of Health.

FAQ

Q: What is DOH Formulario 422-186 Representante Autorizado?A: DOH Formulario 422-186 Representante Autorizado is a form used in Washington state for designating an authorized representative for healthcare related matters.

Q: What is the purpose of DOH Formulario 422-186 Representante Autorizado?A: The purpose of this form is to authorize someone to act on your behalf for healthcare related matters in Washington.

Q: Who can use DOH Formulario 422-186 Representante Autorizado?A: Any individual who wants to designate an authorized representative for healthcare matters in Washington can use this form.

Q: Is there a fee for submitting DOH Formulario 422-186 Representante Autorizado?A: No, there is no fee for submitting this form.

Q: What information is required to complete DOH Formulario 422-186 Representante Autorizado?A: The form requires information such as your name, contact information, the name of your authorized representative, and their contact information.

Q: How long is DOH Formulario 422-186 Representante Autorizado valid for?A: This form is valid until you revoke it or until the expiration date specified on the form.

Q: Can I update or change my authorized representative using DOH Formulario 422-186 Representante Autorizado?A: Yes, you can update or change your authorized representative by submitting a new form with the updated information.

Q: Can I revoke the designation of my authorized representative using DOH Formulario 422-186 Representante Autorizado?A: Yes, you can revoke the designation of your authorized representative by submitting a written notice to the Washington State Department of Health.