TX HHS Form H1272. Declaration of Resources

The TX HHS Form H1272, Declaration of Resources, is a crucial document for individuals seeking assistance from Texas Health and Human Services (HHS). This form helps applicants or recipients declare their resources, which are essential in determining eligibility for various programs and services. The form should be completed by those who require financial assistance or support from HHS.

The form consists of two main sections: Applicant/Recipient and Spouse, and Resources. In the first section, individuals must provide personal information, including their name, date of birth, sex, race, social security number, and home address. The second section focuses on resources, which includes assets such as bank accounts, savings accounts, certificates of deposit, individual retirement accounts, safe deposit boxes, cars, trucks, or recreational vehicles, and homestead property.

The form requires applicants to report all their resources, including those they own or are buying, with the exception of checking or savings accounts not already listed. The reported values should reflect the amount or value as of the first day of the month that the individual was admitted to an institution. This information is essential in determining the applicant's eligibility for various HHS programs and services.