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ARIZONA DEPARTMENT OF ECONOMIC SECURITY Family Assistance AdministrationFAA1847A FORFF (1023)Page 1 of 2ELECTRONIC BENEFIT THEFT REPLACEMENT REQUEST FORM This form is used to request replacement of
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Electronic benefit form replacement is the process of replacing lost or damaged electronic benefit cards or vouchers.
Individuals who have lost or damaged their electronic benefit cards or vouchers are required to file for electronic benefit form replacement.
Electronic benefit form replacement can be filled out online through the designated portal or by contacting the issuing authority directly.
The purpose of electronic benefit form replacement is to ensure that individuals have access to their benefits in a timely manner, even if their cards or vouchers are lost or damaged.
When filling out electronic benefit form replacement, individuals must provide their personal information, details of the lost or damaged card or voucher, and any other relevant details requested by the issuing authority.
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