TX HHS Form 3948. DHHS & STAP Request for Replacement Equipment Because of a State or Federally Declared Disaster

TX HHS Form 3948: "DHHS & STAP Request for Replacement Equipment Because of a State or Federally Declared Disaster" is a form designed to help individuals who have received specialized telecommunications devices through the Specialized Telecommunications Assistance Program (STAP) and had them lost or damaged due to a state or federally declared disaster. This form allows applicants to request a new voucher to replace their STAP equipment, which is essential for communication.

The form requires applicants to provide personal information, including name, address, phone number, and email address. Additionally, applicants must specify the county of residence affected by the disaster, the type of disaster responsible for the loss or damage, and the estimated date of loss or damage. The form also asks applicants to list the STAP device(s) received within the last five years that have been lost or damaged due to the disaster.

This form should be used when a state or federally declared disaster has resulted in the loss or damage of STAP equipment, and the applicant needs to request a replacement voucher. The form is specifically designed for individuals who have received STAP equipment within the last five years and are seeking financial assistance to obtain new devices.