TX HHS Form 3059. CSHCN Employment Verification

The TX HHS Form 3059, CSHCN Employment Verification, is a crucial document that helps employers verify the employment status of Children with Special Health Care Needs (CSHCN) employees. This form is typically used by employers to provide accurate information about their CSHCN employees' job details, pay rates, and payment frequencies.

The form requires employers to provide specific information, including the employee's name, address, date of birth, and CSHCN case number. Employers must also indicate whether the employee is or was employed by them, and if so, what type of job they held. Additionally, the form asks for pay rate information, such as hourly, daily, weekly, or job-based rates, along with average hours per pay period.

This form plays a vital role in ensuring that CSHCN employees receive the necessary services and support. By providing accurate employment verification, employers can help streamline the process of receiving these services. Key features of this form include required information such as employee name, address, and job details, as well as conditions for payment frequencies and gross pay amounts.

• This form is used by employers to verify the employment status of CSHCN employees.
• The form requires specific information about the employee's job, pay rate, and payment frequency.
• The form helps ensure that CSHCN employees receive necessary services and support.