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 | 
|---|---|---|
| Model Form A-10(a): Short Form Disclosures for Government Benefit Accounts | ||
| Model Form A-10(b): Short Form Disclosures for Payroll Card Accounts | ||
| Model Form A-10(c): Short Form Disclosures for Prepaid Accounts, Example 1 | ||
| Model Form A-10(d):  Short Form Disclosures for Prepaid Accounts, Example 2 | ||
| Model Form A-10(e): Short Form Disclosures for Prepaid Accounts with Multiple Service Plans | ||
| Sample Form A-10(f): Long Form Disclosures for Prepaid Accounts | 
