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BAM 401E 20 of 34 ELECTRONIC BENEFIT TRANSFER ISSUANCE SYSTEM BPB 2026-019 8-1-2026

BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

• Record identification type and number on Type of ID Presented and ID number lines, respectively, on DHS- 3955-A-EBT Bridge Card Issuance Log Attachment. In the absence of valid photo identification, Specialists or Supervisor confirms collateral contact ID by signing and dating the DHS-3955-A-EBT, Bridge Card Issuance Log Attachment on Type of ID Presented line. 7. Request HOH/Protective Payee/FSAR to sign on client or authorized Representative Signature line and enter date on Date line of DHS-3955-A-EBT, Bridge Card Issuance Log Attachment. 8. Release new card to HOH/Protective Payee/FSAR and request HOH/Protective Payee/FSAR to sign and print name on the back of the card. Note: Replacement cards for the HOH are not to be given to the FSAR by local office staff. The FSAR should only receive their own card. 9. If needed/requested, assist HOH/Protective Payee/FSAR in selecting a Personal Identification Number (PIN) on the POS device. Note: If the card is a replacement, a new PIN is not required. If the card is for a new case, A PIN can be created on the POS device in the local office or by calling FIS. The DHS-PUB-322, How to Use Your Michigan Bridge Card pamphlet must be provided with each initial over the counter (OTC) Bridge card issued in the local office. 10. Card issuance clerk must sign on Issued by Signature line and enter date on Date line of the DHS 3955-A-EBT, Bridge Card Issuance Log Attachment. 11. Complete the DHS-61 by entering the date in Disposition Date column and indicate in Released to/Address mailed to/Witnessed by column by the person the card was released to. Note: The cardholder is not required to sign the DHS-61.