Haw. Code R. § 17-685.1-3 - Requirements for a claim for replacement of stolen benefits
(a)
A household unit may be eligible to receive a replacement of financial
assistance, SNAP benefits, or a supportive service payment if:
(1) There is sufficient evidence to determine
the occurrence of electronic benefits theft and that the benefits were stolen
through card skimming, card cloning, or similar fraudulent methods;
and
(2) The benefits were not lost
or stolen by an alternate payee or authorized representative designated by the
household unit.
(b) The
household unit shall timely report to the department of an electronic benefits
theft either in-person, in writing via electronic email or U.S. postal service,
or by telephone.
(c) The household
unit shall provide a written and signed attestation of the electronic benefits
theft, on a department prescribed form, to initiate a claim for the replacement
of stolen benefits. The attestation must be submitted within ten business days
from the date the household unit reported the electronic benefits theft to the
department and shall be submitted to the department in-person or mailed
electronically or via the U.S. postal service. The attestation shall include
the following information:
(1) Full name of
the head of the household unit;
(2)
The household unit's case number and the client identification number of the
affected household member if the stolen benefits include child care subsidy,
FTW, or E&T supportive service payment;
(3) The last four digits of the social
security number for the head of the household unit;
(4) The last four digits of each EBT card
number given to the household unit;
(5) The household unit's address and
telephone number;
(6) The date of
discovery of the electronic benefits theft; and
(7) Description of loss or theft of benefits,
including the name and address of the retailer or ATM, if applicable.
(d) The attestation
shall be signed by the head of the household unit and acknowledges that:
(1) The household unit's benefits replacement
claim may be approved or denied;
(2) There is a limit to the amount of
benefits that may be replaced;
(3)
The household unit has the right to request an administrative hearing if the
household unit does not agree with the department's denial of a claim for
replacement of stolen benefits; and
(4) Under penalty of law that all information
as stated on the attestation and any other information submitted is true and
correct.
(e) The
household unit shall be provided up to ten days from the date of the
department's request to provide additional information or evidentiary support
of its electronic benefits theft claim.
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