TX HHS Form 1240-TSI. Request for Information from Bureau of Veterans Affairs and Client's Authorization - TSI

The TX HHS Form 1240-TSI is a request for information from the U.S. Department of Veterans Affairs (VA) and client's authorization form issued by the Texas Health and Human Services (HHS). This form serves as a means for veterans to provide necessary information regarding their benefits received, allowing the VA and HHS to process claims and determine eligibility for assistance.

The purpose of this form is to facilitate communication between the VA and HHS, ensuring that relevant information is shared to support veteran's claims. The form requires veterans to furnish specific details about their benefits received, including name, payee (if different), institutionalized status, tax-sensitive information, and comments. By completing this form, veterans grant permission for the VA to disclose requested information to HHS.

This form is intended for use by eligible veterans seeking assistance from the Texas Health and Human Services Commission. The instructions on page 2 of the form provide guidance on how to complete the necessary information, with a note of appreciation for the veteran's time and cooperation. The VA Representative is responsible for completing and returning only page 2 of the form.