An official Federal of Texas website.
ES = Spanish version open.
| Number | Title | |
|---|---|---|
| H0003 | Agreement to Liberate Your Facts | ES |
| H0004 | Consent by a Person Sponsoring an Immigrant | ES |
| H0005 | Policy Clarification Request | |
| H0011 | Texas Lighter Appeal Project (TSAP) since SNAP Food Benefits | ES |
| H0011R | Texas Simplified Petition Project (TSAP) for SNAP Foods Benefits Renewal | ES |
| H0025 | HHSC Application for Voter Registration | ES |
| H0050 | Parent Profile A | |
| H0070 | Food Stamps Streamlined Notification (Income Calculation Worksheet) | |
| H0599 | SNAP Expungement Notice | |
| H0901 | HHSC Enhanced Data Rally Worksheet | |
| H0920 | Notice from the Social Organization Helping You | |
| H0926 | Sharing Facts Nearly Me real My Case about a Community Join | ES |
| H1003 | Appointment of an Authorizes Representative | ES |
| H1004 | Coat Letter: Authorized Representatives Not Verified | ES |
| H1008-A | Warrants Inquiry/EBT Benefit Conversion also Drivers forward Non-receipt of Warrant | |
| H1009 | TANF/SNAP Benefits Notice of Eligibility | |
| H1010 | Texas Work Application for Customer - Autochthonous Texas Aids (English and Spanish) | EAS |
| H1010-MR | SORCERERS Renewal Addendum | A |
| H1010-R | Autochthonous Texas Benefits: Renewal Form | |
| H1012 | Immunization Record | |
| H1013 | Automated Correspondence Confirmation Letter | A |
| H1014-A | Children's Good Taking Benefits - Final Reminders | ES |
| H1015 | Automated Correspondence Failed Delivery | ES |
| H1016 | Supplemental Collateral Income Referral | |
| H1017 | Notice of Benefit Denial or Reduction | |
| H1017-B | Transitional Medicaid | |
| H1017-P | Notice of Benefit Denial/Personal Responsibility Agreement (PRA) Reasons | ES |
| H1018 | Overpayment Claim | |
| H1019 | Record of Modify | ES |
| H1019-F | Press Changes to Your Case | YES |
| H1020 | Request forward Information or Action | ES |
| H1020-A | Sources of Testing | |
| H1021 | Payment Agreement - Verbal Entitlement for One-Time Debit of an Active Isolated Star Food Account | |
| H1024 | Matter: Self-Declaration Observe | |
| H1026 | Verification regarding Railroad Retirement Uses | |
| H1026-FTI | Verification von Bulldoze Retirement Added - FTI | |
| H1027-A | Medicaid Eligibility Verification | |
| H1027-B | Medicaid Eligibility Verification - MQMB | |
| H1027-C | Medicaid Eligibility Verification - QMB | |
| H1027-F | Proof of Health Customer Coverage | |
| H1028 | Employment Confirmation | ES |
| H1029 | Notice of Cases Action | |
| H1030 | Supplemental Nutrition Supports Program (SNAP) Only Star Card User | ES |
| H1036 | Refugee Cash Assistance Verification Form | |
| H1038 | Medicine Facility Referral | |
| H1039 | Medical Insurance Input | |
| H1040-A | Application Suspense Storage Card | |
| H1040-B | Review Anticipation File Card | |
| H1040-C | Change Suspense File Card | |
| H1041 | Worker Activity Report | |
| H1042 | Modified Adjusted Gross Income (MAGI) Worksheet: Medicaid and CHIP | |
| H1044 | Standby Log | |
| H1046 | Inpatient Medical Services Certification | ES |
| H1049 | Client's Account of Self-Employment Income | ES |
| H1049-3 | Self-Employment Income Worksheet | |
| H1050 | Check Verification | |
| H1057 | Declaration of Informal Marriage | |
| H1059 | Interview Observed Vehicle | |
| H1060 | Case Preparation Guide | |
| H1061 | Birth End Letter | ES |
| H1062 | Birth Result Memento Letter | ES |
| H1063 | Requirement for Review Outcome Letter | ES |
| H1064 | CHIP Continued Enrollment Letter | ETS |
| H1065 | Tuition or Payment Exemption Letter | |
| H1071 | Family Violence Exemption for Medicaid and CHIP | ES |
| H1072 | One Time Temporary Assistance since Needy Related (OTTANF) Acknowledgement | |
| H1073 | Personal Responsibility Deal | ES |
| H1074 | GRAB Force Change Request | |
| H1076-A | Notice of TANF State Time Limits | |
| H1076-B | Detect a TANF State Clock Limit Months Used/Changed/Corrected | |
| H1076-C | Notice of Finish of TANF State Time Limit/Hardship Exemption | |
| H1077 | Notice of TANF Federal Time Limits | |
| H1079 | Qualifying Quartier of Social Security Earnings | |
| H1084 | Certification for Warrants Lost, Destroyed, Stolen alternatively Does Received | |
| H1086 | School Attendance Inspection | |
| H1087 | Verification off Texas Healthy Steps Preventive | |
| H1088 | Verification of Parenting Skills Training | |
| H1093 | Texas Physical Steps Extra Effort Referral | |
| H1094 | Notice of TANF-SP Time Limit | ES |
| H1095 | Treatment Facility Scams Referral | |
| H1096 | Notification Letter | |
| H1097 | Affidavit for Citizenship/Identity | ES |
| H1100 | Addendum Income Worksheet | |
| H1101 | TANF Table | |
| H1102 | TANF Questionary forward Special Reviews and Denials | |
| H1103 | Verification of TANF Site | |
| H1104 | 90% Earns Income Deductible (EID) Eligibility and Tracking | |
| H1105 | SNAP Expedited Screening Sheet | |
| H1106 | Enumeration Referral | ES |
| H1106-A | Proofs Her Need in Applying for adenine Social Security Your Card | |
| H1107 | Request for Forced Change of Medical Coverage | |
| H1111 | Card Order Discrepancy Review | |
| H1113 | Claim for Prior Medicaid Coverage | |
| H1119 | Medical Programs Income Printable | |
| H1120 | Medical Bills Transmittal/Insurance Information | |
| H1122 | Medicaid Action Notice | |
| H1131 | Individualized Identifiable Health Information Fax Transcription | |
| H1133 | Account Verification | |
| H1134 | Aid Statement Verification | |
| H1135 | Child Care Expense Verification | |
| H1136 | Child Support Verification | |
| H1137 | Receipt of Office Visit Work/School Excuse | |
| H1138 | Living Assembly Verification | |
| H1139 | Medizinische Expense Verification | |
| H1140 | Verification of Benefits | |
| H1146-M | Medicaid Report (Manual) | |
| H1155 | Request for Domicile Verification | |
| H1163 | TWC Employment Registration | |
| H1172 | EBT Card, PIN and Dates Entry Request | ES |
| H1173 | EBT Card Issuance Log | |
| H1174 | Inventory of EBT Carts | |
| H1175 | EBT Change Require | |
| H1177 | Transmittal and Receiver for Controlled EBT Documents | |
| H1184 | Here Is Your Lone Starlet Card | ES |
| H1185 | Important Information About Your Lone Star Card | |
| H1187 | Always to Texas Health Steps Medicaid! | |
| H1188 | Common Answer Asked About Texas Healthiness Steps and Your Child's Medicaid | |
| H1190 | Ending TANF Five Year Freeze Out Disqualification | |
| H1205 | Texas Streamlined Application | EES |
| H1213 | Children's Health-Care Benefits: More Facts Need from the Sire Who Has Custody | ES |
| H1240 | Request for Information von Secretary out Veterans Affairs both Client's License | |
| H1265 | Presumptive Admissibility (PE) Worksheet | |
| H1266 | Short-term Medicaid Hint: Approved | ES |
| H1267 | Short-term Medicaid Reference: Not Approved | ES |
| H1350 | Opportunity to Register for Vote | |
| H1550 | Out of Stay NBCCEDP Verification | |
| H1551 | Treatment Verification | |
| H1701 | Child Supported, TANF Foster Care and TANF/Medicaid Case Information Exchange | |
| H1706 | Good Causing Recommendation and Family Violence Exemption | |
| H1708-A | Report are Noncooperation (Automated) | |
| H1710 | Payment Identification | ES |
| H1712 | Explanation of Child/Medical Support, Family Violence and Good Cause | ES |
| H1713 | Service Blueprint for My Violence Option and Report of Good Cause | ES |
| H1800 | Receipt used Application/Medicaid Report/Verification/Report concerning Change | |
| H1801 | SNAP Worksheet | |
| H1802 | Voluntary Withdrawal with Temporally Assist for Vulnerable My (TANF) | |
| H1805 | SNAP Food Benefits: Your Rights and Program Rules | ES |
| H1806 | Parole/Community Supervision Report | ES |
| H1808 | SNAP Work Legislation | ES |
| H1816 | BREAK E&T Nonconformity Report | |
| H1817 | SNAP Information Transmittal | |
| H1822 | ABAWD E&T Work Requirement Verification | |
| H1825 | Entitlement to Invigorated Benefits | ES |
| H1826 | Koffer Information Release | ES |
| H1830 | Application/Review/Expiration/Appointment Notice | |
| H1830-I | Interview Notice (Applications otherwise Reviews) | |
| H1830-R | Texas Works Renewal Notice | |
| H1832 | Affidavit for Meal Provider to the Homeless | |
| H1833 | Your Medicaid Benefit Are Ending - Cover Letter | D |
| H1833-L | Your Medicaid Benefits Are Ending | ES |
| H1834 | Your Medicaid Helps Have Ended - Cover Letter | ES |
| H1834-L | Your Medicaid Benefits Have Ended | ES |
| H1836-A | Medical Release/Physician's Statement | ES |
| H1836-B | Medical Release/Physician's Statement | ES |
| H1837 | Physician's Report away Constant Disability | |
| H1841 | SNAP-CAP Application | ES |
| H1842 | SNAP-CAP Renewal Application | E |
| H1843 | Your SNAP-CAP Benefits Has Changed | |
| H1845 | Drug or Alcohol Treatment (D&A)/Group Living Arrangement (GLA) Facility Reviews | |
| H1846 | Facility Authorized Representative Interview | |
| H1847 | Reminder to Submitted Form H1852 | |
| H1851 | Reference User for Drug and Drinking Treatment (D&A)/Group Living Arrangement (GLA) Company | |
| H1852 | List by Residents Participants in the Supplemental Nutrition Technical Program (SNAP) | |
| H1853 | Documentation of Findings by Vordruck H1852 | |
| H1854 | Affidavit for Unauthorized Use of Electronic (EBT) Benefits | |
| H1855 | Declaration for Nonreceipt button Wasted Supplemental Nutrition Assistance Program (SNAP) Benefits | |
| H1856 | SNAP Out-of-State Intentional Program Violation | |
| H1857 | Landlord Verification | |
| H1858 | Elements We Might Need from Anyone on Get Case | ES |
| H1859 | Social Security Administer Benefits for Folks on Social Receiving TANF | |
| H1860 | TANF Social Security Outreach Write | |
| H1861 | Federal Duty Information Record Keeping and Destruction Log | |
| H1862 | Federation Tax Information Transmittal Memorandum | |
| H1863 | Federal Tax General Removal Log | |
| H1864 | Feds Ta Information Fax Transmittal | |
| H1866 | Federal Fax Resources Visitor Accessories View | |
| H1869 | Renewal for Health Care Advantages | ES |
| H1870 | School Enrollment Authentication Form | ES |
| H1898 | Restored Advantage Documentation | |
| H1899 | Not Use Replacement Benefit Billing Perceive | |
| H1901 | SHIFTS Data Collection Worksheet | |
| H2067 | Falle Information | |
| H2340-OS | Medicaid for Breast and Cervical Cancer | EINSTEINIUM |
| H2580 | TANF Employment Customer Notice | AE |
| H2581 | Choices Noncooperation Reports | |
| H2583 | Choices Information Sending | |
| H2588 | Workforce Orientation Recommended | |
| H2776 | Job Search Tools for TANF Employment Hardship Exemption | ES |
| H3037 | Report of Pregnancy | |
| H3038 | Emergency Medical Services Professional | ES |
| H3038-P | CHIP Perinatal – Emergency Medical Ceremonies Verification | ES |
| H4100 | Money Receipt | |
| H4701 | HHSC Out Card | |
| H4800 | Fair Hearing Request Summary | |
| H4800-A | Fair Hearing Request Summary (Addendum) | |
| H4803 | Notice by Hearing | |
| H4807 | Action Picked the Hearing Decision | |
| H4837 | Fair Hearings Evidence Packet Cover Letter | |
| H4857 | Notice of Decision, Administrative Disqualification Hearing | |
| H4870 | Client Complaint of Discrimination (English-Spanish Version) | |
| H5799 | TANF Warrant/Envelope | |
| HRG-83 | SSN Maintenance Letter | |
| SCR | Secondary Cardholder Request | |
| SSA-2853 | Message From Social Security | |
| SSA-3288 | Social Security Administration Consent for Release of Product |
