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What is form MC 382?

MC 382 (6/18) Use this form to appoint an individual or organization as your Medi-Cal authorized representative. Your authorized representative may act for you on all duties related to your Medi-Cal eligibility and enrollment. Or, you may also limit duties. You may cancel or change this appointment at any time.

What is form MC 031 used for?

Gives you more space to write a declaration that you must sign under penalty of perjury. This is always attached to another form or court paper before it is filed.

What is MC 219 form?

MC 219 (11/15) ENG2. To verify immigration status with the Department of Homeland Security (DHS), if required. Information shared with DHS cannot be used for immigration enforcement unless you are committing fraud.

Who is an authorized representative in California?

An authorized representative is an individual or organization that you select to represent your interests in the hearing process. This may be a friend, relative, co-worker, neighbor, a lawyer (in private practice), Legal Services or an advocacy group that represents claimants in public assistance hearings.

What is an authorized representative for Cal benefits?

An authorized representative is a non-household member who can apply for benefits, complete work registration forms, complete required reporting or use the Electronic Benefits Card to purchase the households food. [7 U.S.C. 2020(e)(7); 7 C.F.R. 273.2(n)(1); MPP 63-402.61; ACL 19-55.]