Temp 2201 at a glance
What it is: This is the Cash Aid/Food Stamp Electronic Benefit Transfer - EBT request for a Designated Alternate Card Holder/Authorized Representative.
Where and when to file: Send or bring in the form to your County Office.
A Designated Alternate Card Holder/Authorized Representative is a responsible person that you trust. A Designated Alternate Card Holder/Authorized Representative will have an EBT card issued in their name and the card holder/authorized representative, you choose will have access to all your cash aid or food stamp EBT.
A filled-in Temp 2201 example: a cash aid client names an alternate card holder

How to fill out Temp 2201, box by box
Name and birthdate of the person you want
Certification

Certification: I understand the person I make Designated Alternate Card Holder/Authorized Representative will have access to ALL of my cash aid and/or food stamp EBT. The County is not responsible for lost or stolen benefits. I can change who can access my cash aid or food stamps by calling my County Worker.
More rules for Temp 2201
Sign and complete this form.
Report lost or stolen card IMMEDIATELY by calling toll free 1-877-328-9677.
Common questions about Temp 2201
Where do I file it?
Send or bring in the form to your County Office.
Sources
[1] Temp 2201 (7/02), Cash Aid/Food Stamp Electronic Benefit Transfer - EBT Request for a Designated Alternate Card Holder/Authorized Representative, California Department of Social Services (the Official source link on this page).


