Who can be my authorized representative? You may name one or more persons or organizations. Only you can name your AR – your AR cannot transfer their responsibilities to another person or organization. You can change your AR at any time.
Someone who you choose to act on your behalf with the Marketplace, like a family member or other trusted person.
An Authorized Representative is a person chosen by a Medicare beneficiary to help with Medicare-related matters, such as the following: Researching and choosing Medicare coverage. Handling Medicare claims and payments. Appealing Medicare coverage decisions.
Ohio Department of Medicaid A Medicaid authorized representative (AR) is a person or organization who can act on behalf of an individual to help apply for and/or keep Medicaid coverage. Naming an AR is optional and can be time limited. Individuals may choose to have more than one AR.
Dear (Recipient's Name), I, (Your Full Name), hereby authorize (Authorized Person's Full Name) to act on my behalf for (specific task or responsibility). (He/She) is authorized to (describe the task, e.g., collect my documents, handle financial transactions, etc.) on (date(s) or time period).
Begin by specifying your name, the entity authorized to disclose information, and the individuals or entities you authorize to receive it. Indicate the specific information and purpose for which it will be disclosed, add an expiration date or event, and sign and date the form to confirm your consent.
Ohio's voter registration form also serves as a change of address and change of name form. It can be submitted through the mail or in person. For change of address purposes only, all Ohio voters also have the option of using the Secretary of State's Online Change of Address System at .VoteOhio.
How long will it take to process my request for an Apostille or Certificate of Authentication? Mailed requests for apostilles are processed in two to three days.