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113 (07/2026) Chapter 2:Eligibility • Section 1: Application ERDC The application must be signed by the caretaker of the child(ren) requiring care or an authorized representative. REF The application must be signed by at least one adult in the filing group or an authorized representative. An adult from the filing group can either be the primary person or the primary person’s spouse. MSP Application must be signed by one of the following: • Any member of the filing group 18 years of age or older, • The authorized representative, or • For someone who is incapacitated or for a child under 18 who has no parent or legal guardian to apply, we can accept an application signed by anyone 18 or older acting responsibility on the person’s behalf. OSIPM The application must be signed by one of the following: • Any member of the filing group 18 years of age or older, • The authorized representative, or • For someone who is incapacitated or for a child under 18 who has no parent or legal guardian to apply, we can accept an application signed by anyone 18 or older acting responsibility on the person’s behalf. HSD The Agency will accept handwritten, electronic or telephonic signatures. The application must be signed by one of the following: • The head of household, • An adult in the applicant’s Eligibility Determination Group (EDG), • An authorized representative, • If the applicant is a child, someone age 18 or older acting responsibly on the child’s behalf.
Non-custodial parents can apply for a child they don’t live with, but refer to the MAGI-Based EDG Formation chart to determine the child’s EDG and if we need both parents listed on the case.
If a child does not live with a parent or caretaker relative, and either lives alone (houseless) or with an unrelated adult caretaker, the child may apply on their own as the head of household. • If the applicant is incapacitated (see ORS 125.005), someone age 18 or older acting responsibly on the individual’s behalf.
This may be a relative or friend of the individual. In these situations, do not add the 3rd party as a household member of the case.
A hospital or LTC provider is allowed to apply as a 3rd party representative for incapacitated individuals when the individual is fully unable to act on their own behalf and has no other family, friend, or representative to apply for them. They must indicate the individual is “incapacitated” (though no further explanation or proof is needed), and the health care representative should sign their name “on behalf of [name of applicant]” indicating the health