PDF
Word
Form Image-10A Request for Agency Employee(S) to Be My Snap Authorized Representative - Massachusetts
What Is Form Image-10A?
This is a legal form that was released by the Massachusetts Department of Transitional Assistance - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form Image-10A?
A: Form Image-10A is a document used to request an agency employee to be your SNAP (food stamps) authorized representative in Massachusetts.
Q: What is an authorized representative?
A: An authorized representative is a person who can act on your behalf to apply for and receive SNAP benefits.
Q: Who can be my authorized representative?
A: In Massachusetts, an agency employee can be your authorized representative for SNAP.
Q: How do I request an agency employee to be my authorized representative?
A: You can use Form Image-10A to request an agency employee to be your SNAP authorized representative.
Q: Is Form Image-10A specific to Massachusetts?
A: Yes, Form Image-10A is specific to Massachusetts.
Form Details:
- Released on December 1, 2018;
- The latest edition provided by the Massachusetts Department of Transitional Assistance;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form Image-10A by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Transitional Assistance.
