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1177 (07/2026) Chapter 8: Examples • Chapter 8: Examples ERDC Janie cannot assign herself as an authorized representative. However, the agency can look at allowing the request if it seems that Josh is not capable of handling his own affairs. REF Janie cannot assign herself as an Authorized Representative. However, the agency can look at allowing the request if it seems that Josh is not capable of handling his own affairs. MSP Janie cannot assign herself as an Authorized Representative without Power of Attorney (POA) or legal guardianship. However, the agency can look at allowing the request if Josh is not capable of handling his own affairs and Janie is able to act responsibly on Josh’s behalf. ODHS|OHA may not appoint an AR on someone’s behalf if they cannot apply for themselves. OSIPM Janie cannot assign herself as an Authorized Representative without Power of Attorney (POA) or legal guardianship. However, the agency can look at allowing the request if Josh is not capable of handling his own affairs and Janie is able to act responsibly on Josh’s behalf. ODHS|OHA may not appoint an AR on someone’s behalf if they cannot apply for themselves. HSD For HSD medical programs, Janie cannot assign herself as an Authorized Representative without Power of Attorney (POA) or legal guardianship. Josh can appoint Janie by submitting a signed MSC0231. ODHS|OHA may not appoint an AR on someone’s behalf if they cannot apply for themselves. Multi-program example 2 Janie returns to the office with Josh and they complete the MSC0231. SNAP The form is accepted and given to a worker to process. TANF The form is accepted and given to a worker to process. ERDC The form is accepted and given to a worker to process. REF The form is accepted and given to a worker to process. MSP The form is accepted and assigned to a worker to process. OSIPM The form is accepted and assigned to a worker to process. HSD The form is accepted and assigned to a worker to process. Multi-program example 3 The worker looks up Janie’s information and notices that Janie has an IPV and that Josh’s father Danny is already an authorized representative for Josh’s SSI. SNAP The request to become an authorized representative is denied due to having an IPV, and it appears that another authorized representative is available.