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Forms and documents
TX HHS Form H4800. Fair Hearing Request Summary
TX HHS Form H4701. HHSC Out Card
TX HHS Form H3675. Application Acknowledgement
TX HHS Form H3618-A. Resident Transaction Notice for Designated Vendor Numbers
TX HHS Form H3081. QI Transaction Report
TX HHS Form H3080. Notification of Eligibility - Qualifying Individuals Program
TX HHS Form H1863. Federal Tax Information Removal Log
TX HHS Form H1862. Federal Tax Information Transmittal Memorandum
TX HHS Form H1860. TANF Social Security Outreach Letter
TX HHS Form H1859. Social Security Administration Benefits for People with Disabilities Receiving TANF
TX HHS Form H1858. Items We Might Need from Anyone on Your Case
TX HHS Form H1856. SNAP Out-of-State Intentional Program Violations
TX HHS Form H1855. Affidavit for Nonreceipt or Destroyed Supplemental Nutrition Assistance Program (SNAP) Benefits
TX HHS Form H1853. Documentation of Findings for Form H1852
TX HHS Form H1852. List of Resident Participants in the Supplemental Nutrition Assistance Program (SNAP)
TX HHS Form H1851. Reference Guide for Drug and Alcohol Treatment (D&A)/Group Living Arrangement (GLA) Facilities
TX HHS Form H1847. Reminder to Submit Form H1852
TX HHS Form H1846. Facility Authorized Representative Interview
TX HHS Form H1845. Drug and Alcohol Treatment (D&A) and Group Living Arrangement (GLA) Facility Review
TX HHS Form H1834-L. Your Medicaid Benefits Have Ended
TX HHS Form H1834. Your Medicaid Benefits Have Ended - Cover Letter
TX HHS Form H1833-L. Your Medicaid Benefits Are Ending
TX HHS Form H1833. Your Medicaid Benefits Are Ending Cover Letter
TX HHS Form H1832. Affidavit for Meal Providers to the Homeless
TX HHS Form H1830-I. Interview Notice Applications or Reviews
TX HHS Form H1830. Application. Review. Expiration or Appointment Notice
TX HHS Form H1825. Entitlement to Restored Benefits
TX HHS Form H1822. ABAWD Employment and Training Work Requirement Verification
TX HHS Form H1817. SNAP Information Transmittal
TX HHS Form H1816. SNAP Employment and Training Noncompliance Report
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Michigan Department of State
Michigan Secretary of State
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New York State Department of Motor Vehicles
New York State Office of Children and Family Services
North Carolina Department of Health and Human Services
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North Dakota Department of Transportation Motor Vehicle
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Ohio Bureau of Motor Vehicles
Oregon DMV
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Pennsylvania Department of Revenue
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