HHS forms are used every day to perform tasks such as applying for benefits, contracting to provide goods or services, reporting incidents, declaring end of life wishes, and conducting other business.
Forms
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ES = Spanish version available.
| Title | Last updated |
|---|---|
| Form LSCS, Lone Star Card Sleeve | April 19, 2022 |
| Form SCR, Secondary Cardholder Request | April 19, 2022 |
| Form SSA-3288, Social Security Administration Consent for Release of Information | March 9, 2022 |
| HHS Information Security and Privacy Initial Inquiry (SPI) | November 23, 2021 |
| Comptroller Form 74-157, Payee Change Request | November 23, 2021 |
| Comptroller Form 74-176, Direct Deposit Authorization | November 23, 2021 |
| Comptroller Form AP-152, Application for Texas Identification Number | November 23, 2021 |
| Form HRG-83, SSN Maintenance Memorandum ES | November 23, 2021 |
| Form SS-5, Application for a Social Security Number Card (Original, Replacement, or Correction) | November 23, 2021 |
| Form SSA-2853, Message From Social Security | November 23, 2021 |
| Form LSC, Lone Star Card | November 23, 2021 |