The .gov means it’s official.
State and federal government websites often end in .gov. Before sharing sensitive information, make sure you’re on an official government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Some forms cannot be viewed in a web browser and must be opened in Adobe Acrobat Reader on your desktop system. Click here for instructions on opening this form.
English PDF: Form H1205
Spanish PDF: Form 1205-S
English and Spanish forms can be found under the title "Form to apply for: (1) Medicaid or CHIP, or (2) help paying for private health insurance" under section "Forms to apply for benefits".
An official State of Texas website.