TX HHS Form H1135. Child Care Expense Verification

The TX HHS Form H1135, Child Care Expense Verification, helps solve the problem of accurately evaluating a household's situation by providing essential information about child care expenses. This form is typically used in situations where the Texas Health and Human Services Commission needs to assess a household's financial situation for the purpose of determining eligibility for certain benefits or services.

The form requires the child care provider to provide specific information, including the name of each child, cost per child, frequency of payment, and name of the person paying for child care. Additionally, providers must indicate if they have recently begun caring for a child, providing the date and amount of the first payment received, or if they are no longer providing services, providing the date and amount of the last payment received.

To ensure accurate evaluation, it is essential to complete this form as soon as possible and return it in the postage-paid envelope provided. By doing so, providers can help facilitate the process and ensure that their information is accurately recorded. Key points to keep in mind include:

• The form must be completed by the child care provider.
• Required information includes name of each child, cost per child, frequency of payment, and name of the person paying for child care.
• If recently begun caring for a child, provide date and amount of first payment received; if no longer providing services, provide date and amount of last payment received.