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 H0090-I, Notice of Admission, Departure, Readmission or Death of an Applicant/Recipient of Supplemental Security Income and/or Medical Assistance Only in a State Institution
Form H0070, Food Stamps Streamlined Reporting (Income Calculation Worksheet)
Form H0050, Parent Profile Questionnaire ES
Form H0055, Verification of Long-Term Care Insurance Policies
Form H0025, HHSC Application for Voter Registration ES
Form 0006, Service Provider Printed Forms Order
Form 5498-NATCEP, Nurse Aide Daily Sign-in Sheet
Form 5539-MA, Medication Aide Training Program Application
Form 5513-NATCEP, Request to Take the Competency Evaluation Program (CEP) Based on Competency in Basic Nursing Skills as an RN/LVN Student
Form 5511-NATCEP, Request to Take the Competency Evaluation Program (CEP) Based on Military Training as a Nurse Aide
Form 5510-NATCEP, Request to Take the Competency Evaluation Program (CEP) Based on Approved Nurse Aide Training Out of State
Form 5830, Community-based Programs – Access and Eligibility Services Contract Application Packet Checklist, State Office Enrolled
Form 5831, Community-based Programs Access and Eligibility Services Contract Application Packet Checklist, Regionally Enrolled
Form 5537-MA, Request for Criminal History Evaluation Letter for Medication Aide Permit
Form 5497-NATCEP, Texas Nurse Aide Performance Record