Get (snap) Authorized Representative Request Form

The (SNAP) Authorized Representative Request Form allows users to designate someone to apply for and manage their food stamp benefits. This guide provides step-by-step instructions to ensure that you effectively complete the form online with ease and confidence.

Follow the steps to fill out the (SNAP) Authorized Representative Request Form online.

1. Press the ‘Get Form’ button to access the form and open it in the editor of your choice.
2. Fill in the 'Applicant Name' field with your full name as it appears on your identification.
3. Complete the 'Applicant Address' section, ensuring that your current residence address is accurately recorded.
4. Input your 'Applicant Telephone Number' for contact purposes, making sure it is a number where you can be reached easily.
5. In the 'Authorized Representative' section, provide the 'Authorized Representative Name' of the person you intend to designate.
6. Enter the 'Authorized Representative Address', ensuring that it is the correct address where this individual can be reached.
7. Fill in the 'Authorized Representative Telephone Number' for their contact.
8. Check the appropriate boxes to indicate the actions you are authorizing your representative to perform, such as application for benefits, recertification, or using your EBT card.
9. Sign and date the form in the 'Applicant Signature' section to confirm your authorization.
10. Ensure the designated authorized representative also signs and dates the form in the respective section, acknowledging the information provided.
11. Review all information for accuracy and completeness before saving changes, downloading, printing, or sharing the filled form.

Complete your (SNAP) Authorized Representative Request Form online today to ensure your food stamp benefits are managed efficiently.