TX HHS Form H1028-A-FTI. Employment Verification - FTI

The TX HHS Form H1028-A-FTI, Employment Verification - FTI, is a crucial document for determining eligibility and benefits for individuals applying for assistance from the Texas Health and Human Services Commission. This form helps verify earnings and income to ensure accurate application processing.

This employment verification form is typically used in situations where an individual's household member is applying for assistance or has income that affects another household member's application. As a responsible employer, you are asked to provide information about your employee's employment history, including wages received during specific months. The form requires you to complete pages 2 and 3, which includes listing all wages received by the employee during the specified time period.

To ensure accurate processing, please ensure that all information is complete and correct. If a question does not apply, mark it N/A. You can return the completed form by mail or fax, as indicated on the document. The due date for submission is also clearly stated. By completing this form, you are helping to determine the eligibility of an individual's application for assistance.

• This form is used to verify earnings and income for individuals applying for assistance from the Texas Health and Human Services Commission.
• The employer must provide information about their employee's employment history, including wages received during specific months.
• The completed form must be returned by mail or fax before the specified due date.