TX HHS Form H1177. Transmittal and Receipt for Controlled EBT Documents
The TX HHS Form H1177, Transmittal and Receipt for Controlled EBT Documents, is a crucial tool for managing the transmission and receipt of Lone Star cards.
TX HHS Form H1175. EBT Change Request
The TX HHS Form H1175, EBT Change Request, is a practical tool for resolving issues related to Electronic Benefits Transfer (EBT) accounts.
TX HHS Form H1174. Inventory of EBT Cards
The TX HHS Form H1174, Inventory of EBT Cards, helps track the management of Electronic Benefits Transfer (EBT) cards. This form is used to monitor the inventory of EBT cards at the beginning and end of each month, as well as record any new card receipts or usage.
TX HHS Form H1173. EBT Card Issuance Log
The TX HHS Form H1173, EBT Card Issuance Log, is a crucial document for tracking the issuance of Electronic Benefits Transfer (EBT) cards. This form helps solve the problem of accurately recording and monitoring the distribution of EBT cards to eligible recipients.
TX HHS Form H1172. EBT Card. PIN and Data Entry Request
The TX HHS Form H1172, EBT Card, PIN and Data Entry Request, is a crucial document for individuals seeking to request the issuance of an Electronic Benefits Transfer (EBT) card.
TX HHS Form H1163. TWC Employment Registration
The TX HHS Form H1163, TWC Employment Registration, helps individuals who receive or will receive Temporary Assistance for Needy Families (TANF) Supplemental Program (SP) benefits to register for employment services.
TX HHS Form H1155. Request for Domicile Verification
Form H1155, also known as the Request for Domicile Verification, is a document used by the Texas Health and Human Services Commission (HHSC) to verify where a client actually lives and who resides with them.
TX HHS Form H1146-M. Medicaid Report (Manual)
Form H1146-M is an official Medicaid reporting document used by the Texas Health and Human Services Commission (HHSC) for families receiving Transitional Medicaid.
TX HHS Form H1140. Verification of Benefits
Form H1140, titled Verification of Benefits, is an official document used by the Texas Health and Human Services Commission (HHSC) to confirm information about public assistance benefits received by an individual or household.
TX HHS Form H1139. Medical Expense Verification
The Medical Expense Verification Form H1139 is a crucial document that helps individuals verify their out-of-pocket medical expenses to determine their eligibility for services.