TX HHS Form H1817. SNAP Information Transmittal

Form H1817, known as the SNAP Information Transmittal, is a communication form used in Texas to exchange case-related information between Employment Contractors and Health and Human Services Commission (HHSC) staff. It helps clarify a client’s SNAP participation status, employment-related requirements, and benefit certification periods so that eligibility decisions can be reviewed or updated accurately.

Purpose of Form H1817

The primary purpose of Form H1817 is to support coordination between Employment Contractors and HHSC when questions arise about a SNAP client’s registration, compliance, or benefit status. The form creates a written record of requests, responses, and clarifications that affect eligibility determinations.

It is commonly used when a client wishes to comply with program requirements, when benefit periods must be verified, or when HHSC staff need to confirm SNAP certification dates.

When This Form Must Be Used

Form H1817 is required in specific administrative situations, including:

• When an Employment Contractor asks HHSC to reconsider a client’s SNAP registration
• When a client’s willingness to comply with program rules needs to be documented
• When clarification is needed about SNAP certification periods
• When an eligibility determination or case inquiry requires formal communication

The form is not required for routine case updates that do not involve employment-related compliance or eligibility review.

Who Is Authorized to Complete the Form

Form H1817 is completed by authorized representatives only:

• Employment Contractors complete Part I of the form
• HHSC staff complete Part II in response

Clients themselves do not complete or submit this form, although the information exchanged directly affects their SNAP benefits.

Explanation of Key Sections

Header Information

This section identifies the sender and recipient, including HHSC and the Employment Contractor. It also lists key case details such as case name, case number, client name, Social Security number, and client identification number. Accurate identifiers are essential to prevent delays or misrouting.

Part I – Message from Employment Contractor to HHSC

In this section, the Employment Contractor explains the reason for contacting HHSC. Common entries include requests to reconsider registration, confirmation that the client wishes to comply, or general case inquiries. Contractors may also request SNAP certification dates or explain employment-related circumstances in the comments.

Comments and Dates (Part I)

The comments field provides space for context, explanations, or supporting details. The date establishes when the request was made and helps track timelines.

Part II – Message from HHSC Staff to Employment Contractor

This section is completed by HHSC staff in response. It typically confirms whether the client is certified for SNAP benefits and specifies the certification period. Additional comments may clarify eligibility decisions or next steps.

Practical Tips for Completing Form H1817

• Verify all case identifiers before submitting the form.
• Clearly state the purpose of the request in Part I.
• Use the comments section to explain employment or compliance issues.
• Include accurate dates for SNAP certification requests.
• Retain a copy of the completed form for case records.

Common Mistakes to Avoid

• Leaving case numbers or client identifiers incomplete
• Submitting vague or unclear comments
• Requesting information outside the scope of SNAP eligibility
• Failing to date the form
• Using the form for purposes not related to employment coordination

Legal and Administrative Context

Form H1817 supports Texas SNAP administration requirements by ensuring accurate communication between employment service providers and HHSC. SNAP rules require that eligibility determinations be based on verified information, including compliance with work-related requirements when applicable. This form helps document that exchange.

Incomplete or inaccurate communication may delay eligibility decisions or affect benefit issuance.

Real-Life Situations Where This Form Is Used

• An Employment Contractor requests reconsideration after a client resumes participation.
• HHSC confirms SNAP certification dates needed for employment planning.
• A case inquiry is submitted to clarify eligibility during a compliance review.

Documents Commonly Associated with This Form

• SNAP eligibility notices
• Employment participation records
• Client compliance documentation
• Case notes or correspondence

Frequently Asked Questions

Does Form H1817 change SNAP benefits automatically?

No, it supports communication but does not by itself change benefits.

Who sends the form to HHSC?

The Employment Contractor submits Part I.

Is client consent required?

The form is used by authorized agencies within program rules.

How does HHSC respond?

HHSC completes Part II with certification details or comments.

Can this form be used for non-SNAP programs?

No, it is specific to SNAP-related coordination.

What happens if information is incorrect?

Errors may delay eligibility review or require resubmission.

Related Forms

• SNAP Eligibility Determination Forms
• Employment Services Participation Records
• HHSC Case Inquiry Forms

Form Details

• Form Name: SNAP Information Transmittal
• Form Number: H1817
• Issued By: Texas Health and Human Services Commission
• State: Texas
• Revision Date: August 2018