STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES ALTERNATE PICK-UP REQUEST FORM Emergency Food Assistance Program (EFAP) 2015 Income Guidelines Date:.

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How to fill out the ALTERNATE PICK-UP REQUEST FORM Emergency Food Assistance Program online

This guide provides clear, step-by-step instructions on how to fill out the Alternate Pick-Up Request Form for the Emergency Food Assistance Program online. It aims to support users in completing this important document accurately and efficiently.

Follow the steps to successfully complete the form:

  1. Press the ‘Get Form’ button to access the Alternate Pick-Up Request Form and open it in your preferred editing tool.
  2. Fill in the date on the form where indicated. This date marks when you are submitting the request.
  3. Determine the number of people in your household and enter that number in the corresponding field.
  4. Review the EFAP Maximum Income guidelines provided in the form and ensure that your household income does not exceed the monthly or annual limits based on your household size.
  5. In the authorization section, write the name of the person you authorize to pick up federal food assistance commodities on your behalf.
  6. In the certification section, read the statement carefully and confirm that your income and household size information is correct by checking the appropriate box.
  7. Sign the form in the designated area to validate your request; your signature must match your legal name.
  8. Enter your address and zip code in the provided fields to complete the form.
  9. Review the completed form for any errors or omissions before proceeding.
  10. Once finished, save your changes, download, print, or share the form as needed.

Complete your documents online for a smooth submission process.

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