City — The PCH must enter their city. State — The PCH must enter their state. ZIP — The PCH must enter their ZIP code. Last Name — The secondary cardholder must enter their last name. Middle Initial — ...
housebound/has a disability Code "E" — every service, homeless and elderly/SSI recipient Otherwise, make no entry. HOH — Check Yes if the PCH is also the Head of Household (HOH) or No if the PCH is ...