Texas Health and Human Services Forms

This document is used for reporting self-employment income in Texas. It is in Spanish.

This form is used for clients in Texas to declare their self-employment income. It helps the state determine eligibility for certain assistance programs.

This form is used for documenting the work activities of individuals in Texas. It helps to track the time and tasks performed by workers.

This Form is used for certifying inpatient medical services in Texas. It is available in both English and Spanish.

This form is used for verifying the validity of checks in the state of Texas. It helps ensure the accuracy and legitimacy of checks being used for various transactions.

This form is used for acknowledging the receipt of durable medical equipment in the state of Texas.

This type of document is a Form 1051-IME-S, used for acknowledging the receipt of durable medical equipment in Texas.

This document is used for calculating self-employment income in the state of Texas. It is a worksheet that helps individuals determine their self-employment earnings for various purposes.

This form is used in Texas to notify individuals of a delay in their decision regarding incurred medical expenses. Action must be taken in response to this notice.

This document is used for notifying delays in the decision regarding medical expenses in Texas. Your action is required.

This form is used for documenting the receipt of dental services in Texas. It is used to keep track of dental services received and serves as a record for insurance or reimbursement purposes.

This form is used for notifying the provider about the decision made regarding medical expenses incurred in Texas.

This Form is used for declaring an informal marriage in the state of Texas.

This document is a form used in Texas for observing and recording interviews.

This document is a birth outcome letter form in Spanish that is used in Texas. It provides information regarding the outcome of a birth.

This type of document is a reminder letter for parents about reporting birth outcomes in Texas. It is in Spanish.

This form is used for applying for a family violence exemption for Medicaid and Chip in Texas. It allows individuals who have experienced family violence to receive healthcare benefits without having to provide information or cooperate with the abusive family member.

This Form is used for declaring informal marriage in Texas. It is a document that is used to legally recognize a marriage that was not performed through a formal ceremony or with a marriage license.

This form is used for case preparation in Texas. It provides guidance and instructions for individuals who are preparing their case for review by the Texas Health and Human Services Commission.

This form is used for filing an overpayment claim in the state of Texas. It is typically used to request a refund for excess benefits received from a government program.

This form is used for applying for a tuition and fee exception in the state of Texas. It allows individuals to request an exemption from paying certain tuition and fees for education or training programs.

This form is used for acknowledging one-time temporary assistance provided to families in need in Texas through the Temporary Assistance for Needy Families program.

This form is used for requesting a change in SNAP benefits in the state of Texas.

This document is used to provide notice about the federal time limits for Temporary Assistance for Needy Families (TANF) in Texas. It is written in Spanish.

Este formulario se utiliza para solicitar una exención de violencia familiar para Medicaid y CHIP en Texas.

This Form is used for notifying TANF recipients in Texas about the federal time limits on receiving benefits.

This form is used for requesting TANF (Temporary Assistance for Needy Families) grandparent supplement payment in Texas.

This Form is used to provide a notice about finger imaging requirements in Texas. It is available in both English and Spanish.

This form is used for verifying school attendance in Texas.

This form is used for verifying school attendance in the state of Texas. It is typically used by parents or guardians to confirm that their child meets the compulsory attendance requirements.

This form is used for reporting and documenting qualifying quarters of Social Security earnings in the state of Texas.

This document is used for documenting the acknowledgement of a one-time payment for temporary assistance to needy families in Texas.

This form is used for verifying parenting skills training in the state of Texas. It is required when applying for certain benefits or services related to parenting.

This form is used for individuals in Texas to provide an affidavit regarding their citizenship or identity.

This form is used for verifying a Texas Health Steps checkup in Texas.