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 Bureau of Veterans Affairs, which requires veterans to provide authorization for the disclosure of their personal information. This form helps solve the problem of ensuring that veterans' benefits are accurately recorded and processed by providing a standardized format for collecting necessary data.

The form requests specific information about the veteran's benefits received, including name, payee (if different), institutionalization status, and tax-sensitive information. The veteran is responsible for furnishing this information on page 2 of the form, which must be completed and returned only by a VA representative. This form is typically used in situations where veterans need to provide authorization for the disclosure of their personal information to the Texas Health and Human Services Commission.

To complete this form, veterans should provide the required information, including name, payee (if different), institutionalization status, and tax-sensitive information. It is essential to understand that this information may have a bearing on the veteran's eligibility for assistance. The following key points summarize the requirements of this form:

• Complete page 2 only
• Furnish required information about benefits received
• Provide authorization for disclosure of personal information
• Return completed form to a VA representative