Yêu Cầu EBT.pdf

TEMP2202VN.pdf
Preview of Yêu Cầu EBT
🔗 Source: cdss.ca.gov
📊 Size: 30 KB
👤 Author: thoang
⬇️ Downloads: 109

Summary

Se requiere una copia de esta solicitud de beneficios de EBT.
El cliente o la persona designada para recibir los beneficios o el representante autorizado
debe firmar
la fecha
Tarjeta emitida
■ Sí
■ No
PIN emitido
■ Sí
■ No
Reactivar
■ Sí
■ No
Cuenta
Iniciales del trabajador
TEMP 2202 (VN) (7/02) FORMULARIO REQUERIDO - SE PERMITEN SUSTITUTOS

Description

Se requiere una copia de esta solicitud de beneficios de EBT.

Technical Information

  • File Format: PDF
  • File Size: 30 KB
  • Pages: 1
  • Language: ES
  • Author: thoang
  • Total Downloads: 109
  • Last Updated: 2 months ago

Document Overview

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