FAA2.A The Application : 04 Authorized Representatives
Authorized Representatives
Information on this page refers to the Nutrition Assistance program Information on this page refers to the Cash Assistance program
An authorized representative is a non-budgetary unit member chosen by the Primary Informant (PI) to assist on their behalf in the application process.
Policy
The Primary Informant (PI) can appoint an authorized representative. An authorized representative chosen by the PI(g) to assist on their behalf may provide assistance with any of the following:
Completing an application
Completing forms (work registration, when required)
Completing the interview
Reporting changes
Providing verification
Receiving notification
NOTE For information regarding an EBT Alternate Card Holder, see EBT Alternate Card Holder.
When the PI requests an authorized representative they must submit a written request using any of the following:
The Application for Benefits (FAA-0001A) form
The Authorized Representative Request (FAA-1493A) form
The Request for Authorized Representative (C034) notice
NOTE When the PI is applying for NA benefits, the authorized representative is required to attest to whether they are currently disqualified from receiving NA due to an Intentional Program Violation (IPV).
A different authorized representative may be chosen for each program. See each of the following for additional information and policies:
Authorized Representatives Rights and Responsibilities
When the PI appoints an authorized representative, FAA ensures both the PI and the authorized representative are informed of their rights and responsibilities.
The authorized representative is required to meet all of the following requirements:
Be appointed in writing with a signature by the PI.
NOTE The PI and authorized representative are required to provide a written, electronic, or recorded telephonic signature. For acceptable methods to sign the application or other documents, see Signing the Application and Other Documents.
Be an adult non-budgetary unit member.
Be fully aware of the budgetary unit’s relevant household circumstances.
The authorized representative remains in effect until one of the following occur:
The PI requests, in writing, at any time to revoke their consent of the authorized representative. (See Revoking an Authorized Representative for information on removing an authorized representative.)
The authorized representative requests, in writing, to be removed from the case. The PI needs to select another authorized representative, when needed.
The application for assistance is withdrawn or denied. The authorized representative is still required to participate in an appeal.
The eligibility ends and there is a break in benefits.
When an eligibility decision is being appealed, both of the following apply regarding the authorized representative:
The authorized representative designated at the time of the action being appealed is required to be involved in any proceedings involving the same action.
A new authorized representative, when designated, may handle any future actions related to the programs for which the representative is the designee.
The PI is responsible for all of the following:
The accuracy of all information provided by the authorized representative. This includes information written on the application and stated during interviews.
NOTE The authorized representative can be held personally liable when a court determines that they are responsible for causing the budgetary unity an overpayment.
Making sure their authorized representative is providing accurate information and is maintaining awareness of the budgetary unit’s circumstances.
Providing updated authorized representative information to FAA each time the budgetary unit renews benefits.
An authorized representative found responsible for providing false or fraudulent information or committing an Intentional Program Violation (IPV) is subject to all of the following:
Jail sentences
Monetary fines
Repayment of inappropriately obtained benefits
Disqualifications
The authorized representative is responsible for all of the following:
Providing accurate information to FAA.
Maintaining awareness of the budgetary unit’s circumstances.
Attending interviews for the budgetary unit, when needed. These interviews may be in person or over the phone. For information on program specific requirements, see NA authorized representative and CA authorized representative.
Providing verification requested by FAA during the application process.
Assisting the budgetary unit with completing applications and forms.
Assisting the budgetary unit with reporting changes and getting any required verification regarding the change.
Providing their own updated information to FAA each time they help the budgetary unit renew benefits.
NOTE The appointed authorized representative must confirm that they agree to being the authorized representative and for NA, that they are not disqualified for an IPV
The PI and the NA authorized representative must be informed about the rules and penalties regarding the IPV. The Authorized Representative Request (FAA-1493A) form is available in the Documents Center on the DES internet website.
The authorized representative has the right to review the case file(g) and obtain information from it at any time. (For policy on who can review case information, see Review of Case Information.)
Authorized Representative of Multiple Cases
An NA or CA authorized representative may represent no more than three budgetary units at a time.
NOTE An authorized representative who is employed and designated by an eligible drug or alcohol treatment center to act for residents of the center has no limit to the number of budgetary units that they may represent.
When the NA or CA authorized representative has access to multiple cases, FAA ensures all of the following:
The PI freely requests the help of the authorized representative
The budgetary unit is being represented correctly
The budgetary unit is receiving the correct amount of benefits
An NA or CA authorized representative may be needed for any of the following reasons:
The participant has been assigned a legal guardian
The participant has difficulty completing the application process
As a precaution in the event the participant has an emergency
The PI and the authorized representative are required to be aware of their rights and responsibilities. For additional information, see Authorized Representatives – Rights and Responsibilities.
Authorized Representatives NA
An NA authorized representative cannot be any of the following:
A retailer involved in the acceptance of NA
A provider of prepared meals for the homeless, when they are representing a homeless participant
A state agency employee involved in the issuance of NA, unless authorized in writing by the Region Program Manager (RPM)
Someone disqualified from receiving NA for an IPV during their disqualification period
NOTE When no one else is available to act as an authorized representative, the person serving an lPV disqualification may act as the authorized representative. This must be attested to by the PI on the Application for Benefits (FAA-0001A) form, the Authorized Representative Request (FAA-1493A) form, or the Request for Authorized Representative (C034) notice.
The PI is not required to be present at the NA interview when the NA authorized representative conducts the interview on behalf of the PI.
The person designated to act as the NA authorized representative is required to take all of the following actions:
Complete the authorized representative section on the FAA-0001A form, the FAA-1493A form, or the C034 notice.
Check the appropriate box on the FAA-0001A form, the FAA-1493A form, or the C034 notice to indicate whether they are currently serving an NA disqualification due to an IPV.
Sign the form in the designated area.
NOTE When the PI has attested that the person being requested is the only one available to serve as the NA authorized representative in writing, then the authorized representative is not required to provide their date of birth.
NA Emergency Representative
An NA emergency representative may be named when an emergency occurs, and a participant or the authorized representative is unavailable.
To be named, the emergency representative is required to provide both of the following:
A written statement from a responsible participant
Personal identification
The NA emergency representative may then complete the application and obtain and use the NA benefits for the participants in the budgetary unit.
Authorized Representative CA
A CA authorized representative may be needed for any of the following reasons:
The participant has been assigned a legal guardian
The participant has difficulty completing the application process
As a precaution in the event the participant has an emergency
The PI is required to be present at the CA interview when the CA authorized representative conducts the interview on behalf of the PI. For more information on CA EBT alternate card holders, see Reasons to Assign a CA EBT Alternate Card Holder and CA EBT Alternate Card Holder Emergency Situations.
The PI and the authorized representative must be aware of their rights and responsibilities. (See Authorized Representatives – Rights and Responsibilities)
CA Participant Payee (CA PI)
The CA participant payee is the person who is requesting CA benefits for any of the following:
Themself
Dependent children
Participants related to the dependent children
The CA participant payee or CA PI completes the application and is present during the interview. The CA authorized representative may complete the application for the PI. However, the PI is required to be present during the interview. The CA participant payee should be properly related to the participants and be able to act responsibly.
A budgetary unit may include a parent and their spouse(g), and the spouse is the dependent child's stepparent. When this occurs, either the parent or the stepparent may be the CA participant payee. A dependent child may never be the CA participant payee.
The CA participant payee may be either eligible or ineligible for the benefit month. The eligibility status of the CA participant payee has no bearing on the right to file an application or be a payee.
Reasons to Assign a CA EBT Alternate Card Holder
A CA EBT Alternate Card Holder receives the CA benefit for the CA participants. A CA EBT Alternate Card Holder may be needed for any of the following reasons:
Assigned by the Department of Child Safety (DCS) or Tribal Social Services
Disqualified CA Participants
Emergency situations (For more information, see CA EBT Alternate Card Holder - Emergency Situations.)
DCS or Tribal Social Services may instruct FAA to name a CA EBT Alternate Card Holder other than the participant currently receiving the CA benefit. This may be due to either of the following:
Neglect or abuse of the children
Mismanagement of the family money
DCS or Tribal Social Services is responsible for monitoring the participant's case.
They inform FAA when the CA EBT Alternate Card Holder is no longer needed.
When DCS anticipates that a CA EBT Alternate Card Holder is needed for more than two years, they take both of the following actions:
Seek judicial appointment of a guardian
Place the children in Foster Care
CA EBT Alternate Card Holder Emergency Situations
An emergency CA EBT Alternate Card Holder may be named when there is not enough time to make any other plans for the child's care and support. Emergency situations include, and are not limited to any of the following:
Death of the CA PI
The CA PI abandons or deserts the child
The CA PI Is incarcerated
The CA PI Is committed to a hospital for the mentally ill
A person is named as an emergency CA EBT Alternate Card Holder when FAA is notified that the person is acting as a representative for, or on behalf of the CA PI. It is not necessary that the CA EBT Alternate Card Holder be a caretaker relative, provided they are caring for the child.
Both of the following apply to payments made available to a CA EBT Alternate Card Holder:
The payments are for the child or children receiving cash benefits
The payments received by the emergency CA EBT alternate card holder are for a period not to exceed 90 calendar days
Death of the CA PI
Both of the following apply when the death of the CA PI occurs during the application process and a new application is turned in during the 45-day processing period of the original application:
The children of the original case may be eligible from the date of the original application.
The new PI may be eligible from the date of the new application.
NOTE The new PI must be an appropriate caretaker relative.
When the death of the PI is reported during the approval period, benefits for the remaining CA budgetary unit participants may be issued to an emergency CA EBT alternate card holder. (For policy on death of the PI, see Changes in Primary Informant.)
Revoking an Authorized Representative
The PI may revoke the authorization, in writing, at any time. Any written statement from the PI is acceptable when they are revoking an authorized representative. The use of the FAA-1494A form is optional.
When an eligibility decision is being appealed, both of the following apply concerning the authorized representative:
The authorized representative designated at the time of the action being appealed must be involved in any proceedings involving the same action.
A new authorized representative, when designated, may handle any future actions related to the program for which the representative is the designee.
Verification
The participant has the primary responsibility for providing verification. (See Participant Responsibilities – Providing Verification for additional policy.)
System interface that FAA has with other agencies for verification purposes may be used by FAA for some information.
NOTE System interface cannot verify every situation.
Legal Authorities
last revised 06/27/2022