Form FAA-1004A-LP Designation of Ebt Alternate Card Holder (Large Print) - Arizona

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Form FAA-1004A-LP Designation of Ebt Alternate Card Holder (Large Print) - Arizona

What Is Form FAA-1004A-LP?

This is a legal form that was released by the Arizona Department of Economic Security - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form FAA-1004A-LP?
A: Form FAA-1004A-LP is a designation form for an alternate card holder for an EBT card in Arizona, in large print format.

Q: What is an EBT card?
A: An EBT card is an Electronic Benefit Transfer card, which is used to access government assistance programs.

Q: Who can use this form?
A: This form is for residents of Arizona who want to designate an alternate card holder for their EBT card.

Q: What does the form allow me to do?
A: The form allows you to designate someone else to use your EBT card on your behalf.

Q: What is the purpose of having an alternate card holder?
A: Having an alternate card holder can help if you are unable to use your EBT card yourself, ensuring that you can still receive government benefits.

Q: Is this form specific to Arizona?
A: Yes, this form is specific to Arizona.

Q: Is there a fee for submitting this form?
A: No, there is no fee for submitting this form.

Q: Are there any eligibility requirements to designate an alternate card holder?
A: The eligibility requirements may vary, so you should refer to the instructions on the form or contact the Arizona Department of Economic Security for more information.

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Form Details:

  • Released on March 1, 2019;
  • The latest edition provided by the Arizona Department of Economic Security;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form FAA-1004A-LP by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.

Download Form FAA-1004A-LP Designation of Ebt Alternate Card Holder (Large Print) - Arizona

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