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CSF PROXY FORM Local Agency Name During, I give permission for (year) to pick up my CSF foods. I certify that this person is at least 18 years of age. Signature of Responsible Party Date (To be completed
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The csfp proxy form proxy is a form used to appoint a proxy for the Commodity Supplemental Food Program (CSFP).
Participants of the CSFP who are unable to pick up their food packages in person are required to file the csfp proxy form proxy.
To fill out the csfp proxy form proxy, participants must provide their information as well as the information of the person they are appointing as their proxy.
The purpose of the csfp proxy form proxy is to allow participants of the CSFP to designate someone to pick up their food packages on their behalf.
The csfp proxy form proxy must include the participant's name, address, contact information, as well as the proxy's name, address, and contact information.
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