Get Replacement Request/affidavit For Food Stamp Benefits Lost From An Ebt - Dss Mo
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How to fill out the Replacement Request/affidavit for food stamp benefits lost from an EBT - DSS Mo online
This guide provides clear instructions for completing the Replacement Request/Affidavit for food stamp benefits lost from an EBT account. Users can effectively navigate the online form to ensure their request is processed smoothly.
Follow the steps to complete your Replacement Request online.
- Click ‘Get Form’ button to access the form and open it for editing.
- Begin by filling out the identification section. Enter your name in the first field and provide your pay county in the second field. Next, input your DCN (Document Control Number) and SCN (Social Security Card Number) in the following fields.
- Input your current address in the designated field, including street or apartment number, city, state, and zip code.
- In the next field, provide the value of the benefits lost in dollars.
- Record the date the card was reported as lost, stolen, or not received in the subsequent field.
- Indicate the date when form IM-113 was completed.
- Fill out the client statement to provide additional information relevant to your case.
- The worker statement section should be completed by the designated case worker.
- Ensure that all signatures are captured. Sign and date as the eligibility unit member or authorized representative at the designated area, and have the case worker sign and date as well.
- Review the entire form for accuracy. Once all information is complete, save any changes made. You can then download, print, or share the completed form as needed.
Complete your Replacement Request online to ensure your benefits are addressed promptly.
To obtain a copy of your SNAP approval letter, you can contact your local Department of Social Services office. They can provide you with a duplicate of the letter detailing your benefits. Additionally, you may log into your online account if you have set one up. Utilizing the platform of uslegalforms can streamline the process of gathering necessary documents related to your Replacement Request/affidavit For Food Stamp Benefits Lost From An Ebt - Dss Mo.
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