TX HHS Form H1071. Family Violence Exemption for Medicaid and CHIP

TX HHS Form H1071. Family Violence Exemption for Medicaid and CHIP

The Family Violence Exemption for Medicaid and CHIP (Form H1071) helps individuals who are afraid of being harmed or have been hurt to maintain their privacy while applying for healthcare benefits.

TX HHS Form H1072. One Time Temporary Assistance for Needy Families (OTTANF) Acknowledgement

TX HHS Form H1072. One Time Temporary Assistance for Needy Families (OTTANF) Acknowledgement

This document serves as the applicant’s official acknowledgement of the rules attached to receiving a one-time $1,000 payment under the One-Time Temporary Assistance for Needy Families (OTTANF) program in Texas.

TX HHS Form H1104. 90% Earned Income Deduction (EID) Eligibility and Tracking

TX HHS Form H1104. 90% Earned Income Deduction (EID) Eligibility and Tracking

The TX HHS Form H1104, "90% Earned Income Deduction (EID) Eligibility and Tracking", helps determine eligibility for the 90% EID program.

TX HHS Form H1096. Notification Letter

TX HHS Form H1096. Notification Letter

The TX HHS Form H1096, Notification Letter, helps resolve situations where an Authorized Representative of a facility has accessed Supplemental Nutrition Assistance Program (SNAP) benefits they were not entitled to.

TX HHS Form H1097. Affidavit for Citizenship/Identity

TX HHS Form H1097. Affidavit for Citizenship/Identity

The TX HHS Form H1097, Affidavit for Citizenship/Identity, is a crucial document that helps individuals establish their citizenship or identity in various situations.

TX HHS Form H1100. Addendum Income Worksheet

TX HHS Form H1100. Addendum Income Worksheet

The TX HHS Form H1100 Addendum Income Worksheet is a practical tool designed to help resolve income-related issues in various situations. This form is typically completed by legal parents, stepparents, or applicants/recipients who have diverted income.

TX HHS Form H1101. TANF Worksheet

TX HHS Form H1101. TANF Worksheet

The TX HHS Form H1101, TANF Worksheet, is a crucial tool for determining eligibility and processing applications for the Temporary Assistance for Needy Families (TANF) program.

TX HHS Form H1102. TANF Worksheet for Special Reviews and Denials

TX HHS Form H1102. TANF Worksheet for Special Reviews and Denials

The TX HHS Form H1102, TANF Worksheet for Special Reviews and Denials, is a practical tool designed to facilitate the review and denial process of Temporary Assistance for Needy Families (TANF) applications.

TX HHS Form H1103. Verification of TANF Eligibility

TX HHS Form H1103. Verification of TANF Eligibility

Form H1103 is a supporting document used in the Texas Temporary Assistance for Needy Families (TANF) eligibility process. Its purpose is straightforward but important: it confirms a child’s identity, age, relationship to the payee, and the authenticity of the documents presented.

TX HHS Form H1111. Card Order Discrepancy Verification

TX HHS Form H1111. Card Order Discrepancy Verification

The TX HHS Form H1111, Card Order Discrepancy Verification, is a crucial tool for resolving issues with card orders in various situations.