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 2802, Youth Empowerment Services (YES) Waiver Notice of Participant Rights ES	March 21, 2023
Form 2994, Child Placing Agency (CPA) Medication Log	March 10, 2023
Form 2993, General Residential Operations Medication Log	March 10, 2023
Form 8578-CFC, Intellectual Disability/Related Condition Assessment for CFC	March 10, 2023
Form 8577, Questionnaire for LTSS Waiver Program Interest Lists ES	March 10, 2023
Form 2307, Rights and Responsibilities ES	March 1, 2023
Form 2032, Escheatment of Consumer Funds	February 27, 2023
Form 8582, TxHmL-CFC Individual Plan of Care	February 24, 2023
Form 8617, Individualized Skills and Socialization Enhanced Staffing Rate	February 23, 2023
Form 2416, Minor Home Modifications and Adaptive Aids Service Authorization ES	February 15, 2023
Form 2974, Request for Risk Evaluation Based on Past Criminal History or Central Registry Findings	February 14, 2023
Form 8615, On-site and Off-site Individualized Skills and Socialization Service Delivery Log	February 13, 2023
Form 8616, In-Home Individualized Skills and Socialization Service Delivery Log	February 10, 2023
Form 2971, Child Care Regulation Request for Background Check ES	February 3, 2023
Form 8607, Conflict of Interest Screening of a Representative of the Office	January 23, 2023