ALTERNATE PICK-UP REQUEST FORM Preview on Page 1

ALTERNATE PICK-UP REQUEST FORM 2026

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  1. Click ‘Get Form’ to open the ALTERNATE PICK-UP REQUEST FORM in the editor.
  2. Begin by entering the date at the top of the form. This helps track when the request is made.
  3. In the 'Authorization' section, clearly write the name of the person authorized to pick up your EFAP commodities. Ensure this is someone you trust.
  4. Next, indicate your household size and corresponding income by referring to the EFAP maximum income guidelines provided on the form. This ensures eligibility for assistance.
  5. Complete the 'Certification' section by confirming that your household income does not exceed specified limits. This is a legal affirmation, so accuracy is crucial.
  6. Finally, sign and date the form at the bottom to validate your request. Make sure all information is correct before submission.

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