TX HHS Form 2247. Interest List Contact Notification

The TX HHS Form 2247, Interest List Contact Notification, is a crucial document that helps individuals confirm their interest in remaining on the Community Services Interest List for specific HHSC programs or services. This form should be used when an individual wants to continue being considered for participation in one or more of these programs or services.

This notification form requires key information, including the individual's name and address, as well as contact details such as phone numbers and alternate contact person information. The form also includes important sections where individuals can indicate their interest in remaining on the list or request removal from it. A signature is required to confirm changes to an individual's record.

The TX HHS Form 2247 is a straightforward tool for updating records and ensuring that interested parties remain informed about available programs and services. By completing and submitting this form, individuals can ensure their continued consideration for participation in the listed HHSC program(s) or service(s), as specified on the form (TX HHS Form 2247: Interest List Contact Notification).