TX HHS Form H1010-R. Your Texas Works Benefits Renewal Form
This page explains Form H-1010R — “Your Texas Benefits: Renewal Form” — a renewal and update form used by the Texas Health and Human Services Commission (HHSC).
TX HHS Form H1012. Immunization Record
Form H1012, titled Immunization Record, is a documentation form used to track a child’s immunization history for eligibility, compliance, or review purposes.
TX HHS Form H1028-A-FTI. Employment Verification - FTI
The TX HHS Form H1028-A-FTI, Employment Verification - FTI, is a crucial document for determining eligibility and benefits for individuals applying for assistance from the Texas Health and Human Services Commission.
TX HHS Form H1021. Payment Agreement Verbal Authorization for One-Time Debit of an Active Lone Star Food Account
The TX HHS Form H1021, Payment Agreement - Verbal Authorization for One-Time Debit of an Active Lone Star Food Account, is a crucial document that enables clients to authorize a one-time debit from their active Lone Star Food account.
TX HHS Form H1024. Subject Self-Declaration Notice
Form H1024, also known as the “Self-Declaration Notice,” is a document used by the Texas Health and Human Services Commission (HHSC) to verify key information needed to renew a child’s Medicaid coverage by mail.
TX HHS Form H1026. Verification of Railroad Retirement Benefits
The TX HHS Form H1026, Verification of Railroad Retirement Benefits, is a crucial document that helps solve the problem of verifying retirement benefits received by individuals.
TX HHS Form H1026-FTI. Verification of Railroad Retirement Benefits
The TX HHS Form H1026-FTI, Verification of Railroad Retirement Benefits, is a crucial document that helps resolve issues related to retirement benefits.
TX HHS Form H1028. Employment Verification
Form H1028 is an official Texas Health and Human Services Commission (HHSC) document used to verify a person’s employment status, income, and work-related benefits.
TX HHS Form H1028-A. Employment Verification (Aged and Disabled Programs)
The Employment Verification form (Form H1028-A) is used by the Texas Health and Human Services Commission (HHSC) to confirm wages for individuals applying for benefits under Aged and Disabled Programs.
TX HHS Form H1035. Pre-Screening Result for Medicaid
The Pre-Screening Result for Medicaid form (Form H1035) helps determine whether an individual is eligible for Medicaid benefits. This form is typically used in situations where a verbal conversation has taken place to assess eligibility, but a formal determination has not been made.