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  • Authorized Representative For Snap (food Assistance) And ... - In.gov - In

Get Authorized Representative For Snap (food Assistance) And ... - In.gov - In

AUTHORIZED REPRESENTATIVE FOR SNAP (FOOD ASSISTANCE) AND CASH ASSISTANCE *DFR03AE01* State Form 53460 (R4 / 8-13) / DFR 2123 Section 1 If you want someone to act on your behalf in applying for benefits.

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How to fill out the Authorized Representative For Snap (food Assistance) And Cash Assistance form online

This guide provides step-by-step instructions for completing the Authorized Representative for Snap (food Assistance) and Cash Assistance form. By following these instructions, you can effectively authorize a representative to act on your behalf in this important process.

Follow the steps to fill out the form successfully.

  1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
  2. In Section 1, indicate if you want someone to represent you in applying for benefits or acting on your behalf. Ensure you select the specific function(s) you are authorizing the representative to perform. Each authorized representative needs their own completed form.
  3. Move to Section 2 and print the name of your chosen representative clearly. Then, select the relationship they have with you from the options provided, such as friend or family member.
  4. Next, fill in the representative's mailing address, including the number and street, city, state, and ZIP code.
  5. Select the specific functions you are authorizing your representative to perform by checking the appropriate boxes in the function section. Functions include signing applications, reporting changes, and receiving benefits. If applicable, complete additional information for the Electronic Benefits Transfer (EBT).
  6. In this section, both you and your representative must sign and date the form to affirm the agreement. Make sure the signatures are clear and the dates are correct.
  7. Finally, review your completed form for accuracy. Once satisfied, you can save the changes, download, print, or share the form as needed.

Complete the Authorized Representative for Snap and Cash Assistance form online today!

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WHAT IS AN AUTHORIZED REPRESENTATIVE? An authorized representative is a person your household allows to apply for, to obtain and/or to use food stamp benefits on behalf of your household because you are unable to do so.

An authorized representative is a non-household member who can apply for benefits, complete work registration forms, complete required reporting or use the Electronic Benefits Card to purchase the household's food. [7 U.S.C. § 2020(e)(7); 7 C.F.R.

Someone who you choose to act on your behalf with the Marketplace, like a family member or other trusted person. Some authorized representatives may have legal authority to act on your behalf.

It is a federal aid program administered by the Food and Nutrition Service of the U.S. Department of Agriculture, however, distribution of benefits occurs at the state level.

Failure to keep your appointment may result in your Food Stamp and/or TANF application being denied. You must call to schedule a new appointment. If you do not request another appointment, your food stamp application will be denied on the 30th day from the date of application.

Contact SNAP Customer Contact Center Call Us. Primary: (404) 657-3433. Mail. 2 Peachtree St. NW.

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Get Authorized Representative For Snap (food Assistance) And ... - IN.gov - In
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232