TX HHS Form 3926. Change of Disability

The TX HHS Form 3926, "Change of Disability," is a crucial document for individuals who require specialized telecommunications assistance due to a disability. This form helps applicants update their information when their disability changes, ensuring they receive the necessary support to maintain basic telephone network access.

This form consists of three main steps: Applicant Information, Disability Information, and Equipment Information. The applicant must provide detailed descriptions of how their disability has changed since the previous voucher exchange, as well as identify the cause of the change and whether it is progressive or stable. Additionally, they must list all devices received within the last five years and explain why they can no longer use these devices for telephone access.

The form also requires applicants to list new devices they are applying to achieve basic telephone network access, ensuring that DHHS does not issue a voucher for any device functionally similar to one received within the last five years unless the previously received device is not compatible with another device in the current request. By completing this form, individuals can ensure they receive the necessary support to maintain their independence and communication needs.