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WORKER NUMBER You must fill in the information below when you start the Restricted Account. Sign, date, and give the original of this Agreement to the county with proof of the account. ACCOUNT HOLDER(S) NAME(S) ON THE ACCOUNT NAME AND ADDRESS OF BANK, ETC. ACCOUNT NUMBER SIGNATURE OR MARK OF HEAD OF HOUSEHOLD OR AUTHORIZED REPRESENTATIVE CURRENT BALANCE DATE County Use Section I certify that the household member or authorized representative signing this form has been given a copy of the.

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How to fill out the FS 28B.PDF online

Filling out the FS 28B.PDF form is an essential step in the food stamp program restricted account agreement process. This guide will provide you with clear, step-by-step instructions to complete the form online, ensuring you have all necessary information readily available.

Follow the steps to accurately complete the FS 28B.PDF form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the case name in the designated field. This is the name associated with the food stamp case.
  3. Next, fill in the case number, which is a unique identifier for your account. Ensure this is correct for proper account management.
  4. Proceed to provide the name of the county worker assigned to your case. This is typically the individual who will assist you with your application.
  5. Input the worker number of your county worker, which helps in identifying them within the system.
  6. Enter the account holder(s) name(s) as they appear on the bank account. This is crucial for account verification.
  7. Fill in the name and address of the bank where the account is held. Accurate details ensure there are no delays.
  8. Provide the account number clearly. Double-check to avoid errors that could complicate processing.
  9. Have the head of household or an authorized representative sign or mark the form in the designated area to indicate agreement and acknowledgment.
  10. Enter the current balance of the restricted account to complete this section accurately.
  11. Fill in the date of signing, ensuring it reflects the accurate date the form was completed.
  12. In the county use section, the county worker must certify and sign the form, along with their worker number and date.
  13. Once all fields are completed, review the form for accuracy. Then, save any changes, download, print, or share the form as needed.

Complete your FS 28B.PDF form online today for a streamlined experience.

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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
Your Privacy Choices
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
altaFlow
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