FAA1.D Application Requirements : 05 Authorized Representatives - Overview : D Authorized Representatives – Rights and Responsibilities
D Authorized Representatives – Rights and Responsibilities
 
(01/01/20 – 12/31/20)
When the PI appoints an authorized representative, the Family Assistance Administration (FAA) must ensure both the PI and the authorized representative are informed of their rights and responsibilities.
 
FAA informs the PI that they are responsible for the following:
 
The accuracy of all information provided by the authorized representative. This includes information written on the application and stated during interviews.
Making sure their authorized representative is providing accurate information and is maintaining awareness of the household’s circumstances.
Providing updated authorized representative information to FAA and AHCCCS each time the household renews benefits.
 
The PI has the right to revoke the authorization at any time. This must be done in writing.
 
An authorized representative must first be appointed in writing with a signature by the PI. The PI must provide a signature using an acceptable method to sign the document either written, electronic, or telephonic.
 
The authorized representative must then provide a signature using an acceptable method to sign the document either written, electronic, or telephonic.
 
On a telephonic signature the appointed authorized representative must confirm the following:
 
Agrees to being the authorized representative for the applicant
They are not disqualified for an intentional program violation (IPV)
 
FAA informs the authorized representative that they are responsible for the following:
 
Providing accurate information to FAA and AHCCCS.
Maintaining awareness of the household’s circumstances.
Attending interviews for the household. These interviews may be in person or over the phone.
Providing verification requested by FAA and AHCCCS during the application process.
Assisting the household with completing applications and forms.
Assisting the household with reporting changes and getting any required verification for the change.
Providing their updated information to FAA and AHCCCS each time they help the household renew benefits.
 
The authorized representative has the right to review the case file and obtain information from it at any time. (See Review of Case Information)
 
The PI and the authorized representative must be informed about the rules and penalties regarding the Intentional Program Violation.
 
The Authorized Representative Request (FAA-1493A) form is available in the Document Center on the DES internet web site.
 
When an authorized representative is appointed provide the PI and authorized representative with the Authorized Representative - Rights & Responsibilities (FAA–1492A) pamphlet or information on how to access the FAA-1492A pamphlet. The (FAA 1492A) pamphlet is available in the Document Center on the DES Internet web site.