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 tool for individuals who have a disability that interferes with their access to the phone network. This form provides financial assistance to obtain telecommunications devices that enable them to communicate effectively.

This application should be used by Texas residents who are at least 5 years old and require specialized telecommunications devices due to a disability. Required information includes applicant details, mailing address (if different from the applicant's), and a statement attesting to the applicant's residency in Texas, age, and need for a specialized device. The form also requires an original signature from the applicant or their parent/guardian.

The STAP program provides financial assistance for individuals who require specialized telecommunications devices to access the phone network. This application must be processed within one year of submission, and additional documentation may be requested to confirm information provided on the application. The completed form should be mailed to STAP at P.O. Box 12607, Austin, TX 78711.