Get Ebt Ri Form

Filling out the Ebt Ri Form online can streamline the process of requesting an EBT card in Rhode Island. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the Ebt Ri Form online.

1. Click ‘Get Form’ button to obtain the Ebt Ri Form and access it in the online editor.
2. Select the office location by checking one of the provided options: Providence, Pawtucket, Warwick, Woonsocket, Newport, or South County.
3. Fill in the last four digits of your Social Security Number in the designated field.
4. If you have a DHS ID number, enter it into the provided space. Then, input your date of birth in the MM/DD/YYYY format.
5. Complete the personal information section by entering your last name, first name, and middle initial.
6. Provide your street address, including apartment number (if applicable), city/town, state, and zip code.
7. If this is a new address, please check the box indicating that it is.
8. Enter your phone number for contact purposes. Confirm if this is the address where you would like your card mailed by selecting 'Yes' or 'No.'
9. If your mailing address differs from your home address, fill out the mailing address section with the same details required for the home address.
10. Indicate the reason for requesting a new EBT card by selecting one of the options provided, including the option to specify 'Other.'
11. Sign and date the form in the relevant section. If you are filling this out as an Authorized Representative or Authorized Payee, provide the necessary details and signatures in those specified fields.
12. After completing all sections, save the changes, and choose to download, print, or share the form as needed.

Complete your documents online to ensure a smooth application process for your EBT card.