Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish)

Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish)

What Is Form FAA-1004A-XLP?

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-XLP?
A: Form FAA-1004A-XLP is a designation form for an alternate card holder for an EBT card in Arizona in extra large print.

Q: Who can use Form FAA-1004A-XLP?
A: This form can be used by individuals who need an alternate card holder for their EBT card in Arizona and require extra large print.

Q: What is an alternate card holder?
A: An alternate card holder is someone designated by the primary EBT cardholder to use the card on their behalf.

Q: What is an EBT card?
A: An EBT card, or Electronic Benefit Transfer card, is a card that allows individuals to access government benefits such as SNAP (Supplemental Nutrition Assistance Program) and TANF (Temporary Assistance for Needy Families).

Q: Why would someone need an EBT alternate card holder?
A: Someone may need an alternate card holder if they are unable to use their EBT card themselves due to a disability or other reason.

Q: Is this form available in Spanish?
A: Yes, this form is available in both English and Spanish.

Q: Are there any fees associated with this form?
A: No, there are no fees associated with this form.

Q: How long does it take to process this form?
A: The processing time for this form may vary. Contact the Arizona Department of Economic Security (DES) for more information.

Q: Can I designate more than one alternate card holder?
A: Yes, you can designate multiple alternate card holders on this form.

ADVERTISEMENT

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-XLP by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.

Download Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish)

4.3 of 5 (23 votes)
  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English/Spanish)

    1

  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English/Spanish), Page 2

    2

  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English/Spanish), Page 3

    3

  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English/Spanish), Page 4

    4

  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English/Spanish), Page 5

    5

  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English/Spanish), Page 6

    6

  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English/Spanish), Page 7

    7

  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English/Spanish), Page 8

    8

  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English/Spanish), Page 9

    9

  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English/Spanish), Page 10

    10

  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish), Page 1
  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish), Page 2
  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish), Page 3
  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish), Page 4
  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish), Page 5
  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish), Page 6
  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish), Page 7
  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish), Page 8
  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish), Page 9
  • Form FAA-1004A-XLP Designation of Ebt Alternate Card Holder (Extra Large Print) - Arizona (English / Spanish), Page 10
Prev 1 2 3 4 5 ... 10 Next
ADVERTISEMENT