Right to a Copy of the Rights and Responsibilities
  |
This subject includes information about how a participant can print a copy of the Rights and Responsibilities.
Policy
The participant and the authorized representative have the right to a printed copy of the Your Rights and Responsibilities (FAA-1573A) form.
The FAA-1573A is available to the public in the DES Documents Center. To print a copy of the Rights and Responsibilities, complete all of the following:
●Click on Documents Center.
●Enter the complete form number, FAA-1573A, in the search box, and click “Search.”
●Click on the link in the “Download” column for the form to download a copy.
NOTE The Rights and Responsibilities are also found on the paper Application for Benefits (FAA-0001A) form.
Procedures
When a participant or authorized representative requests the Rights and Responsibilities by phone, explain how to access the DES website and the Documents Center.
When the participant or authorized representative asks for a copy of the FAA-1573A form, complete one of the following:
●Explain how to download a copy from the Documents Center on the DES website.
●Print a copy of the FAA-1573A form from the Document Center at an FAA office.
A copy of the FAA-1573A form must be mailed to a participant when requested.
Legal Authorities
7 CFR 273.2(a)(1)
7 CFR 273.2(e)(1)
45 CFR 206.10(a)(2)(i)
last revised 04/11/2022