TX HHS Form H1273. Request for Assessment Information

The TX HHS Form H1273, Request for Assessment Information, helps individuals or organizations seeking an assessment of their resources to provide necessary documentation. This form is typically used in situations where financial information needs to be verified or evaluated, such as during the application process for government programs or services.

To complete the assessment, users are required to provide specific financial documents, including checking account statements and savings account statements, covering a specified period. The form also allows for the reporting of other relevant financial resources. It is essential to submit this information promptly, as failure to do so may result in the assumption that an assessment will not be completed.

Key features of the form include the provision of required financial documentation and the importance of timely submission. Users are responsible for ensuring that all necessary information is provided and that it is accurate and complete. If questions arise during the process, users can contact the issuing agency, Texas Health and Human Services (HHS), for assistance.

• This form is used to request an assessment of resources in situations where financial information needs to be verified or evaluated.
• Users are required to provide specific financial documents, including checking account statements and savings account statements.
• Prompt submission of the requested information is essential to ensure the completion of the assessment.