Texas Health and Human Services Forms

This form is used for providing individuals in Texas with the opportunity to register to vote.

This Form is used for verifying pre-need information in the state of Texas.

This form is used for verifying treatment for Medicaid coverage of breast and cervical cancer in Texas.

This form is used for verification of Out-of-State NBCCEDP eligibility for the state of Texas.

This Form is used for declaring a home address in Texas. It is in Spanish and is specific to Texas.

This form is used for correcting applied income in the state of Texas.

This Form is used for verifying treatment for breast and cervical cancer under Medicaid in Texas.

This form is used to provide the rationale for the items and services included in the Star+Plus HCBS Program in Texas. It helps to explain why certain items or services are necessary for the program participants.

This form is used for certifying the completion or delivery of items or services in the Star+plus HCBS program in Texas.

This Form is used for the Non-Star+Plus HCBS Program Services in Texas.

This Form is used for creating an individual service plan for residents of Texas. The plan outlines the services and support needed by an individual with disabilities.

This form is used for recommending good cause exemption and family violence exemption in Texas.

This document is used to create a nursing services plan in Texas. It is written in Spanish.

This type of document is used for certifying the completion or delivery of articles and services in the HCBS program of Star+plus in Texas.

This form is used for identifying payment information in Texas. It is available in English and Spanish.

This form is used for exchanging information regarding child support, TANF foster care, and TANF/Medicaid cases in the state of Texas.

This form is used for submitting a batch of documents related to benefits programs in Texas. It serves as a cover sheet to organize and guide the processing of the documents.

This form is used for reporting changes in Medicaid eligibility or updating information for applicants in Texas.

This form is used for voluntarily withdrawing from Temporary Assistance for Needy Families (TANF) in the state of Texas.

This form is used for determining eligibility for the Supplemental Nutrition Assistance Program (SNAP) in Texas. It helps calculate income and expenses to determine if an individual or household meets the income guidelines for SNAP benefits.

This Form is used for applying for a Food Stamp Identification Card in the state of Texas.

This form is used for reporting parole or community supervision in Texas.

This form is used for reporting noncompliance with the Supplemental Nutrition Assistance Program (SNAP) Employment and Training (E&T) requirements in the state of Texas.

This form is used for transmitting information related to the Supplemental Nutrition Assistance Program (SNAP) in Texas.

This form is used for claiming entitlement to restored benefits in the state of Texas. It is important for individuals who previously received benefits but had them stopped for some reason.

This form is used for applying, reviewing, and receiving appointment notices for various services in the state of Texas.

This form is used for voluntary withdrawal from Temporary Assistance for Needy Families (TANF) program in Texas.

This form is used for determining eligibility for adjunctive services in Texas. It provides information about the individual's eligibility status and the services they may qualify for.

This type of document is an Adjunctive Eligibility Letter form for residents of Texas. It is written in Spanish.