TX HHS Form 1243. Verification of Civil Services Benefits

The Texas Health and Human Services (HHS) Form 1243, Verification of Civil Service Benefits, serves as a crucial tool for processing assistance applications. This form is designed to collect essential information regarding an individual's retirement benefits, including gross monthly income, Medicare insurance, other health insurance, and deductions or additions.

The purpose of this form is to provide the U.S. Office of Personnel Management (OPM) with accurate data on the retirement benefits received by the individual being considered for assistance. The form requires a signed authorization from the individual, as well as detailed information about their income, deductions, and additions. This information enables OPM to verify the individual's civil service benefits and process their application efficiently.

This form is intended for use by individuals seeking assistance through the Texas HHS program, as well as by the U.S. Office of Personnel Management (OPM) in verifying the accuracy of retirement benefit information. The issuance agency responsible for this form is the Texas Health and Human Services department. Form 1243 was last updated in October 2002.