Forms

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.

    Search for Forms

    ES = Spanish version available.

    Title Last updated
    Form 6518, Record of Completion for Individual Specific Training, Instructions January 20, 2022
    Form H1046, Inpatient Medical Services Certification ES January 20, 2022
    Form 3687, Provider Agency Findings of Fiscal Monitoring Review January 19, 2022
    Form 5830, Community-based Programs – Access and Eligibility Services Contract Application Packet Checklist, State Office Enrolled January 13, 2022
    Form 5831, Community-based Programs Access and Eligibility Services Contract Application Packet Checklist, Regionally Enrolled January 13, 2022
    Form 5535, Reciprocity Licensure Questionnaire January 12, 2022
    Form 5518-NFA, Provisional Licensure Questionnaire January 10, 2022
    Form 2060, Needs Assessment Questionnaire and Task/Hour Guide ES January 7, 2022
    Form H1134, Help Statement Verification ES January 6, 2022
    Form H1103, Verification of TANF Eligibility ES January 6, 2022
    Form 3247, Licensed Sex Offender Treatment Provider (LSOTP) and Affiliate Sex Offender Treatment Provider (ASOTP) License Renewal Application December 29, 2021
    Form H0011R, Texas Simplified Application Project (TSAP) for SNAP Food Benefits Renewal ES December 29, 2021
    Form 1826-D, Case Information Release December 29, 2021
    Form 2823, Local Mental and Behavioral Health Authority Referral December 28, 2021
    Form 5537-MA, Request for Criminal History Evaluation Letter for Medication Aide Permit December 17, 2021