Prepaid model forms and samples
Download Prepaid model and sample forms.
Print and source code versions of the forms are provided on the Bureau’s Prepaid GitHub page.
Description | English | Spanish translation of Form |
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Model Form A-10(a): Short Form Disclosures for Government Benefit Accounts |
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Model Form A-10(b): Short Form Disclosures for Payroll Card Accounts |
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Model Form A-10(c): Short Form Disclosures for Prepaid Accounts, Example 1 |
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Model Form A-10(d): Short Form Disclosures for Prepaid Accounts, Example 2 |
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Model Form A-10(e): Short Form Disclosures for Prepaid Accounts with Multiple Service Plans |
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Sample Form A-10(f): Long Form Disclosures for Prepaid Accounts |