Forms

Food Stamp Client Authorized Debit for Repayment of Overissuance

Food Stamp clients can use this form to request their accounts be debited to repay a previous overissuance of food stamp benefits.

You must indicate if the request is for a one-time payment for a specific amount or for a monthly payment for a specific amount.

• Client Authorized Debit for Repayment of Overissuance Form

Once you have completed this form, submit it to:

• South Dakota Department of Social Services
  Office of Recoveries and Fraud Investigations
  700 Governors Drive
  Pierre, SD 57501
• Contact Dakota EBT at (605) 773-3493 or Recoveries and Fraud Investigations at (605) 773-3653 if you have additional questions.