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How to fill out the Mc 306 Spanish online
The Mc 306 Spanish form, also known as the Nombramiento de Representante, is essential for appointing an authorized representative to assist individuals with their Medi-Cal applications. This guide will provide you with clear instructions on how to effectively complete this form online.
Follow the steps to successfully complete the Mc 306 Spanish form.
- Click the ‘Get Form’ button to obtain the form and open it in your preferred online editing tool.
- Begin by filling out the 'Sección I' for the Applicant/Beneficiary. Provide your full name, optional case number, and date in the designated fields.
- In the designated space, write the name of the person you are appointing as your authorized representative, along with their organization, if applicable.
- Enter the complete address and phone number of your authorized representative in the appropriate fields.
- Acknowledge the authorization that permits the appointed representative to act on your behalf by reviewing and understanding the listed responsibilities and limitations.
- Sign and date the form at the bottom of 'Sección I' to confirm your appointment of the authorized representative.
- Proceed to 'Sección II' to be completed by the designated authorized representative. They need to read and understand the outlined acknowledgments regarding their role.
- The authorized representative should sign, date, and provide their employment information, along with their phone number.
- Review the entire document for accuracy and completeness. Make any necessary changes before finalizing.
- Once you are satisfied with the form, save your changes, then download, print, or share the completed Mc 306 Spanish form as required.
Take action now and complete your documents online to ensure a smooth submission process.
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. MC 382 (6/18) - DHCS ca.gov https://.dhcs.ca.gov › Forms › MCED › MC_Forms ca.gov https://.dhcs.ca.gov › Forms › MCED › MC_Forms
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