TX HHS Form 2819. CCR Residential Child Care Regulation Governing Body and Administrator
Form 2819 is used by child-care operations in Texas to officially designate two key roles: a designee who may speak and act on behalf of the governing body, and an administrator responsible for the day-to-day management of a residential child-care operation.
TX HHS Form 6700. Use and Release of Health Information Authorization
Form 6700, “Use and Release of Health Information Authorization,” is a document used in Texas to give the Health and Human Services Commission (HHS) permission to release a person’s Medicaid claims history.
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 H1830-R. Texas Works Renewal Notice
Form H1830-R is the official reminder sent by the Texas Health and Human Services Commission (HHSC) when it is time for a household to renew benefits such as **TANF**, **SNAP**, or **Health Care/Medicaid**.
TX HHS Form 7263. Emergency Practices
Form 7263 is a critical tool for childcare providers in Texas to document emergency preparedness practices.
TX HHS Form 5007. CMBHS Access Request and User Agreement
Form 5007, titled “CMBHS Access Request and User Agreement”, is a mandatory document for behavioral health providers in Texas who need access to the Clinical Management for Behavioral Health Services (CMBHS) system.
TX HHS Form 3016. Administrator Licensing - Reference for an Applicant
Form 3016 is an official document used by the Texas Health and Human Services Commission (HHSC) to evaluate the professional background and suitability of individuals applying for a Child Care Administrator License or a Child Placing Agency Administrator License.
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 H0011-R. Texas Simplified Application Project (TSAP) for SNAP Food Benefits Renewal
This page explains Form H0011-R (Texas Simplified Application Project — TSAP) used to renew Supplemental Nutrition Assistance Program (SNAP) benefits under special simplified rules.
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.