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

The TX HHS Form 3948 is designed to help individuals who have received Specialized Telecommunications Assistance Program (STAP) equipment and have had it lost or damaged due to a state or federally declared disaster. This form provides a mechanism for eligible applicants to request replacement vouchers for their STAP devices.

To complete the application, applicants must provide personal information, including their name, address, phone number, and email address. They must also 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. Additionally, applicants must list the STAP device(s) received within the last five years that have been lost or damaged due to the disaster.

Before submitting the application, applicants must sign a statement attesting to the truthfulness of the information provided and understanding the terms of the replacement voucher program. The completed form can be submitted by mail to STAP at P.O. Box 12607 Austin, TX 78711 or faxed to 512-438-4777.

• This form is used for individuals who have received STAP equipment and had it lost or damaged due to a state or federally declared disaster.
• Applicants must provide personal information, including their name, address, phone number, and email address.
• The application requires specification of 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.