Texas Health and Human Services Forms

This form is used for submitting a Notice of Application in the state of Texas.

Este formulario se utiliza para designar a una persona autorizada para actuar en su nombre en Texas.

This form is used for keeping a record of immunizations in the state of Texas. It helps track and document vaccinations received by individuals.

This document is used to submit a notice of application in Texas. It is part 3 of Form H1000-A.

This Form is used for reminding families in Texas about the final deadline to enroll their children in Children's Health Care Benefits.

This form is used for referring individuals in Texas to apply for Supplemental Security Income (SSI) benefits. It provides necessary information to the relevant authorities for determining eligibility.

This document serves as a letter confirming electronic correspondence for Spanish speakers in Texas.

This Form is used for reminding Texas residents about the final deadline to apply for children's health care benefits. It is in Spanish.

This form is used for reporting changes to your case in the state of Texas.

This type of document is used in Texas to notify about changes in your case.

This form is used to notify the state of Texas when a recipient wants to apply benefits from a dormant Lone Star Food account to their SNAP claim.

This Form is used for providing verbal authorization to debit an active Lone Star Food Account in Texas for a one-time payment.

This form is used for self-declaration notice in Texas. It is used to declare information about oneself for certain purposes.

This form is used for verifying an individual's Railroad Retirement Benefits in the state of Texas.

This form is used for setting up an installment payment agreement to debit a Lone Star Food Account in Texas. The form is available in both English and Spanish.

This form is used for employment verification in Texas for the Aged and Disabled Programs.

This form is used for employment verification for the Aged and Disabled Programs in Texas.

This type of document is a job verification form that is used in Texas. It is written in Spanish.

This form is used for verifying railroad retirement benefits in Texas. It helps to ensure that individuals are accurately reporting their income for eligibility in benefit programs.

This document is for applying for additional assistance through the Supplemental Nutrition Assistance Program (SNAP) using the Lone Star Card in the state of Texas.

This form is used for verifying eligibility for Refugee Cash Assistance in the state of Texas. It is available in both English and Spanish.

This form is used to provide pre-screening results for Medicaid in Texas. It is available in both English and Spanish.

This Form is used for renewing Texas Works benefits in Texas. It is mandatory to submit this form to continue receiving assistance.

This document is a review suspense file card for Texas residents who have filed Form H1040-B. It is used to keep track of the status of the review process for their tax return.

This Form is used for the Application Suspense File Card in Texas.

This document is used for updating and managing changes to suspense files in Texas for tax purposes.

This form is used for submitting medical insurance information in the state of Texas.

This form is used for maintaining a log of standby time for employees in the state of Texas.

This form is used for applying for Supplemental Nutrition Assistance Program (SNAP) Lone Star Card assistance in Texas. It is specifically provided in Spanish language.

This form is used for calculating the Modified Adjusted Gross Income (MAGI) for Medicaid and CHIP eligibility in Texas. It helps determine if an individual or family meets the income requirements for these healthcare programs.

This form is used for referring patients to medical facilities in Texas. It is available in both English and Spanish.