TX HHS Form H1272. Declaration of Resources

The TX HHS Form H1272, Declaration of Resources, is a crucial document that helps individuals and their spouses declare their resources when seeking assistance from government programs. This form is typically used in situations where individuals are applying for Medicare or other health-related benefits.

This declaration requires applicants to provide detailed information about their resources, including bank accounts, savings accounts, certificates of deposit, individual retirement accounts, safe deposit boxes, cars, trucks, and recreational vehicles. The form also asks for the location and value of these resources as of the first day of the month that the applicant was admitted to an institution.

Key features of this form include the requirement to provide accurate information about all resources, including those owned jointly with a spouse. Applicants are also responsible for updating their declaration if there are any changes to their resources. By completing this form, individuals can ensure that they accurately report their resources and receive the necessary assistance from government programs.

• This form is used by individuals applying for Medicare or other health-related benefits.
• Applicants must provide detailed information about their resources, including bank accounts, savings accounts, certificates of deposit, individual retirement accounts, safe deposit boxes, cars, trucks, and recreational vehicles.