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.

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ES = Spanish version available.

Title
Form 7239, Incident or Illness Report ES
Form 2935, Admission Information ES
Form 2987, Parent's Rights
Form 2837, Governmental Entity Request for Exemption from Child Care Licensing Regulation
Form 2832, Single Skills Program During School Year Request for Exemption from Child Care Licensing Regulation
Form 2833, Single Skills Program During Summer Request for Exemption from Child Care Regulation
Form 2839, Program of Limited Duration Request for Exemption from Child Care Licensing Regulation
Form 2838, Miscellaneous Entities Request for Exemption from Child Care Licensing Regulation
Form H0011, Texas Simplified Application Project (TSAP) for SNAP Food Benefits ES
Form H2065-D, Notification of Managed Care Program Services ES
Form H0011R, Texas Simplified Application Project (TSAP) for SNAP Food Benefits Renewal ES
Form H0003, Agreement to Release Your Facts ES
Form 2819, Residential Child Care Regulation Governing Body/Administrator or Executive Director Designation
Form 2550, Operational Policy on Infant Safe Sleep ES
Form 2982, Personal History Statement