Ebt 2259 form 11 21-2026

1. Click ‘Get Form’ to open the EBT 2259 form in the editor.
2. Begin by entering your recipient information, including your EBT card number, last name, first name, and contact details such as phone number and email.
3. Indicate whether you believe your cash aid benefits were stolen by selecting 'Yes' or 'No'. If applicable, provide details about the last transaction where you used your EBT card.
4. If you suspect who stole your benefits, provide their name and contact information in the designated section.
5. Document any police report filed regarding the theft by entering the date and police report number. Ensure to include the amount reported stolen.
6. List all electronic theft transactions if known, including dates, amounts, store names, and dispute claim numbers.
7. Finally, review all entered information for accuracy before signing and dating the form. Submit it to your county worker as instructed.

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