Page 34
Title 7: SNAP Page 31 Iowa Department of Health and Human Services Employees’ Manual Chapter A: Administration Electronic Benefit Transfer Revised June 20, 2025 Establishing Cardholders The primary cardholder must ask in writing by fully completing form 470-3983, Adding an EBT Cardholder. The form must be: • Signed by both the primary cardholder and the secondary cardholder or authorized representative, and • Returned to the HHS local office. Upon receipt of the completed form, issue an Iowa EBT card to the authorized cardholder. Replacing Secondary Cardholders or Authorized Representatives A primary cardholder can change authorized representatives or secondary cardholders at any time. Do not issue a card to the newly requested cardholder until the requirements under Establishing a Secondary Cardholder or Authorized Representative have been met. If the primary cardholder wants the original cardholder to stay in place until the new cardholder is established, deactivate the original cardholder’s Iowa EBT card when you put the new cardholder in place. Authorized Representative’s Request to Terminate An authorized representative has the right to end the person’s agreement to represent a household at any time. The authorized representative can deactivate the representative’s own card by calling the EBT customer service number or by calling HHS. If the authorized representative asks HHS to be removed as a cardholder, deactivate the person’s card through EPPIC® entries. If the household is not aware of the authorized representative’s decision to stop representing the household, send a note to the household to ask if the household wants to designate a new authorized representative. Send the household a new form 470-3983, Adding an EBT Cardholder, in case the household needs a new authorized representative. Disqualifying an Authorized Representative Legal reference: 7 CFR 273.2(n)(4)(i)(C) Disqualify an authorized representative who knowingly gives false information or improperly uses SNAP for up to one year. (This provision does not apply to facility authorized representatives.)