TX HHS Form 1297. Request for Information from Teacher Retirement System of Texas

The Texas Health and Human Services (HHS) issues Form 1297, Request for Information from Teacher Retirement System of Texas. This form serves as a request for information to determine the eligibility of an individual who has applied for medical assistance.

The purpose of this form is to gather identifying information about the TRS payee, including their name, mailing address, federal tax number or social security number, and type of payee. The requested information will assist in determining the individual's eligibility for medical assistance. The Teacher Retirement System of Texas (TRS) requires prompt response from the payee to process their request.

This form is intended for use by TRS members, beneficiaries of deceased TRS members, or other individuals seeking medical assistance through the Texas HHS. The requested information includes gross monthly benefit, net monthly check amount, and amounts of income taxes withheld or other deductions. Additionally, the form requires the effective date of benefit and any additional information requested.