TX HHS Form 3906. Application for Specialized Telecommunications Assistance Program (STAP)

The TX HHS Form 3906, Application for Specialized Telecommunications Assistance Program (STAP), is a crucial document that helps individuals with disabilities access the phone network. This form provides financial assistance to obtain specialized telecommunications devices, enabling people with disabilities to communicate effectively.

This application requires applicants to provide personal information, including their street address, ZIP code, email address, and parent's or legal guardian's name if applicable. The applicant must also attest to being a Texas resident, at least 5 years old, and requiring a specialized telecommunications device due to a disability. Additionally, the applicant consents to speaking with a STAP representative after receiving the device to verify its effectiveness.

The form outlines specific responsibilities and follow-up actions. For instance, applicants must provide any required additional information within one year of application processing or complete another application for a voucher. The application is valid until August 31, 2025. Key points to note include:

• This form is used by individuals with disabilities who require specialized telecommunications devices to access the phone network.
• The applicant must provide original signatures and attest to the truthfulness of the information provided.
• STAP may request additional documentation as needed to confirm or supplement application information.