TX HHS Form 2276. Intake

The TX HHS Form 2276, Intake, is a crucial document used to gather essential information for providing services. This form helps solve the problem of determining an individual's eligibility for various programs and services offered by the government.

This intake form requires specific details, including recipient identification, demographic information such as ethnicity, race, marital status, and household income. It also asks about the person's living situation, whether they live alone or with others, and their monthly income from various sources. The form explicitly mentions that all information provided is confidential and will only be used to initiate or modify services.

The TX HHS Form 2276, Intake, should be completed when an individual seeks assistance or wants to change their existing service plan. This form is particularly useful for those applying for programs such as the Supplemental Nutritional Assistance Program (SNAP). By providing accurate and complete information, individuals can ensure a smoother application process and receive the necessary support.