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This version of the form is not currently in use and is provided for reference only. Download this version of
Form FAA-1004A-LP
for the current year.
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 the Designation of Ebt Alternate Card Holder (Large Print) form.
Q: Who is the form for?
A: The form is for residents of Arizona.
Q: What is the purpose of the form?
A: The purpose of the form is to designate an alternate card holder for an EBT (Electronic Benefit Transfer) card.
Q: What is an EBT card?
A: An EBT card is a electronic payment card that is used to access government benefits such as food stamps.
Q: Why would someone need to designate an alternate card holder?
A: Someone may need to designate an alternate card holder if they are unable to use their EBT card themselves due to age, disability, or other reasons.
Q: Is there a specific reason why this form is in large print?
A: The form is in large print to accommodate individuals with visual impairments.
Form Details:
- Released on August 1, 2021;
- 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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