TX HHS Form H1134. Help Statement Verification

The TX HHS Form H1134, Help Statement Verification, is a crucial document that helps evaluate the situation of households in need. This form is typically filled out by individuals who provide assistance to others, such as family members or friends, and is used to verify the help being given.

The form requires specific information from the person providing help, including their name, phone number, and address. It also asks about the type of help being provided, such as cash, shelter, food, personal items, transportation, or other forms of assistance. Additionally, the form inquires about the frequency and duration of the help, as well as any plans to continue providing aid.

To complete this form accurately, it is essential to provide detailed information about the help being given. The form must be returned in the postage-paid envelope provided, with all questions answered thoroughly. Key points to note include:

• The person providing help must answer questions about their relationship with the household member receiving aid.
• Cash assistance is a specific type of help that requires additional information, including who receives the cash and how often it is given.
• The form also asks about other forms of non-cash assistance being provided, such as shelter or food.