TX HHS Form 3063. CSHCN Statement of Self-Employment Income

The TX HHS Form 3063, CSHCN Statement of Self-Employment Income, is a document used to report self-employment income for individuals with Children with Special Health Care Needs (CSHCN) receiving services from the Texas Health and Human Services Commission. This form helps solve the problem of accurately reporting self-employment income, which is essential for determining eligibility and benefits.

The form requires key information including the name of the person with self-employment income, how they earned their income, and a breakdown of business expenses and income. It also emphasizes the importance of attaching receipts, invoices, or other verifying papers to support the reported income. This form should be used when an individual with CSHCN is self-employed and needs to report their income for program purposes.

The TX HHS Form 3063 is a straightforward document that helps individuals accurately report their self-employment income. By completing this form, they can ensure that their income is properly documented and considered in determining their eligibility for services. The form also includes important disclaimers regarding the accuracy of the reported information and the potential consequences of providing false information.