TX HHS Form H1103. Verification of TANF Eligibility

The TX HHS Form H1103, Verification of TANF Eligibility, is a crucial document for determining the eligibility of individuals or families for Temporary Assistance for Needy Families (TANF) benefits. This form helps resolve questions about an individual's identity, relationship to the payee, and birth information.

The form requires specific information, including the name of the child as shown on their birth certificate, hospital record, or baptismal document, along with the date of birth, city, and state of birth. Additionally, it asks for the names of the mother and father as shown on the corresponding documents, as well as the file or certificate number.

This form is typically filled out by individuals seeking TANF benefits or their authorized representatives. It serves as a verification tool to ensure that the information provided matches the records on file. By completing this form, applicants can demonstrate their eligibility for TANF assistance and facilitate the processing of their application.

• The form is used to verify the identity and birth information of individuals or families seeking TANF benefits.
• It requires specific documentation, including birth certificates, hospital records, and baptismal documents.
• The form helps determine eligibility for TANF assistance and facilitates the processing of applications.