This form is a sample letter in Word format covering the subject matter of the title of the form.
This form is a sample letter in Word format covering the subject matter of the title of the form.
To name you as an Authorized Representative, your loved one must complete a form called the “Medicare Authorization to Disclose Personal Health Information.” If your loved one is unable to complete the form, you may do it as long as you have legal documentation giving you that right.
Send your completed and signed application to your local Social Security office. If you have questions, call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778.
You may give this form to your local county office in person or by mail, phone or electronically.
What is a Special Power of Attorney? A Special Power of Attorney, otherwise known as “SPA”, is a legal document that grants a chosen individual—the agent or attorney-in-fact—the authority to perform specific actions on behalf of another person, the principal or grantor.
Where do I send my MC 382 form? Mail the form to address Access, PO Box 85027, San Diego, CA 92186. Please include the case number on the form when doing so. The form will be scanned into the system and a representative will contact you.
An SPA must include the identification of the principal and agent, a detailed scope of powers, transaction specifics, date of execution, the principal's signature, and proper notarization. For property-related SPAs, registration with the Register of Deeds may also be required.
Instead of going through all those many consular offices and notary public services for your SPA, you can just have it apostilled by the Secretary of State in that country, making everything more efficient. This petition enables your record to be recognized within the Philippines without further authentication.
Since we are located in Sacramento, we submit your document to the California Secretary of State the same day we receive it. The Secretary of State will take an average of 3-5 business days to apostille or authenticate most documents for international use in ance with the Hague Convention.
When is an Apostille needed? Usually, the lawyers in a foreign jurisdiction will specifically state that an Apostille is required. Sometimes they assume that one will be affixed and do not mention it specifically. Commercial documents will very often need Apostilles and Powers of Attorney.