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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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How to fill out csfp proxy form
How to fill out the csfp proxy form:
01
Start by providing your personal information, including your name, address, and contact details.
02
Indicate the reason for appointing a proxy by selecting the appropriate option from the form. It could be due to illness, disability, or any other valid reason.
03
Complete the section relevant to the proxy's information, including their name, address, and contact details.
04
Sign and date the form to certify its accuracy and completeness.
05
Submit the filled-out csfp proxy form to the appropriate authority or organization in charge of the csfp program.
Who needs the csfp proxy form:
01
Individuals who are unable to personally collect their csfp benefits due to illness, disability, or any other valid reason.
02
Those who wish to appoint someone to act as their proxy to pick up their csfp benefits on their behalf.
Remember, it is essential to follow the specific guidelines and instructions provided by the relevant authority or organization to ensure the accurate and successful completion of the csfp proxy form.
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What is csfp proxy form?
The csfp proxy form is a document that allows an individual to designate another person to pick up their Commodity Supplemental Food Program (CSFP) food package on their behalf.
Who is required to file csfp proxy form?
Individuals who are unable to pick up their CSFP food package in person due to disability, illness, or other valid reasons are required to file a csfp proxy form.
How to fill out csfp proxy form?
The csfp proxy form can be filled out by providing the designated proxy's name, relationship to the participant, and signature. The participant must also sign the form authorizing the proxy to pick up the food package.
What is the purpose of csfp proxy form?
The purpose of the csfp proxy form is to ensure that individuals who are unable to pick up their CSFP food package in person have a designated proxy who can do so on their behalf.
What information must be reported on csfp proxy form?
The csfp proxy form must include the participant's name, address, participant ID number, the proxy's name, relationship, and signature, as well as the participant's signature authorizing the proxy.
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