TX HHS Form H5017-MEPD. Items We Need from You

TX HHS Form H5017-MEPD, "Items We Need from You," is a crucial document for individuals seeking assistance from the Texas Health and Human Services (HHS). This form helps facilitate the collection of essential information required to process various cases, such as new additions or changes in status.

The form requests copies of specific documents, including identification, social security number, citizenship, immigration status, legal representative information, income records, child support details, loan and gift documentation, bank statements, insurance policies, and medical bills. It is essential to provide only the necessary items that apply to your case, as instructed in the form.

This document should be used when you need to provide supporting evidence for a new addition or change in status related to your HHS case. Be sure to keep original documents for your records and only submit copies of the requested information. By completing Form H5017-MEPD, you can ensure that your application is processed efficiently and accurately.