Form Image-10A Request for Agency Employee(S) to Be My Snap Authorized Representative - Massachusetts

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.

ADVERTISEMENT

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;

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.

Download Form Image-10A Request for Agency Employee(S) to Be My Snap Authorized Representative - Massachusetts

4.4 of 5 (9 votes)
  • Form Image-10A Request for Agency Employee(S) to Be My Snap Authorized Representative - Massachusetts, Page 1
ADVERTISEMENT