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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 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.
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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