WebCase name: MSC 0231 (02/12), replaces DHS 0231 Page 1 of 2 Program: Branch:Case number: Case name: Worker ID: Designation of Authorized Representative or Alternate Payee What is an authorized representative or alternate payee? Authorized representative – This person can act for you to apply for benefits. WebIL462-1292 - Illinois Health Care Worker Registry Application Form - Report of Direct Support (DSP) Training (pdf) - (R-03-13) IL462-1293 - Direct Support Person (DSP) On …

Authorized representatives Washington State Health Care …

WebIL DHS IL444-1893 2024-2024 - Fill and Sign Printable Template Online US Legal Forms ... IL DHS IL444-1893 2024 Get IL DHS IL444-1893 2024-2024 Show details How It Works Open form follow the instructions Easily sign the form with your finger Send filled & signed form or save il snap redetermination rating ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ 4.8 … WebApproval of a representative’s fee is not required if: (1) the appellant being . represented is a provider or supplier; (2) the fee is for services rendered in an official capacity such as that of legal guardian, committee, or similar court appointed representative and the court has approved the fee in question; (3) the fee is for mypay pay chart army

Medical Forms Alphabetical Listing HFS - Illinois

WebThe form, OMHA-118, “Petition to Obtain Approval of a Fee for Representing a Beneficiary” elicits the information required for a fee petition. It should be completed by the representative and filed with the request for ALJ hearing, OMHA review, or request for Medicare Appeals Council review. WebApproved Representative When you sign to have an approved representative it means you give permission for this person (1) to sign your application for you, (2) to receive … WebUtilize the Sign Tool to create and add your electronic signature to signNow the Record of Birth IL444-2636 (PDF) — State of Illinois — DHS state IL form. Press Done after you … the smart girl\u0027s guide to self-care