TX HHS Form H1173. EBT Card Issuance Log

The TX HHS Form H1173, EBT Card Issuance Log, is a practical tool used to track the issuance of Electronic Benefits Transfer (EBT) cards. This form helps solve the problem of keeping accurate records of card issuance, ensuring that recipients receive their benefits in a timely and secure manner.

The log requires key information, including the name of the card, PIN, self-replacement date, primary cardholder's card number (PAN), and recipient selection. The signature of the recipient is also an important section of the form, providing verification that the card has been received and accepted. This form should be used when issuing new EBT cards or replacing existing ones.

This log provides a clear and concise record of EBT card issuance, allowing for easy tracking and management of benefits distribution. By using this form, organizations can ensure compliance with regulations and maintain accurate records of transactions. The TX HHS Form H1173, EBT Card Issuance Log, is an essential tool for any organization involved in the administration of EBT programs.