Skip to main content

Texas flag An official State of Texas website.

Here's how you know.

  • Apply for Benefits
  • Connect
  • Español
  • Subscribe

Dot gov

The .gov means it’s official.
State and federal government websites often end in .gov. Before sharing sensitive information, make sure you’re on an official government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Texas Health and Human Services Home Texas Health and Human Services
  • Home
    • Services
    • Aging
    • Disability
    • Disaster Assistance
    • Family and Safety Resources
    • Financial
    • Food
    • Health
    • Mental Health & Substance Use
    • Questions About Your Benefits
    • Your Rights
    • Providers
    • Assistive Services Providers
    • Behavioral Health Services Providers and Programs
    • Child Care Regulation
    • County Jail Reporting
    • Health Care Facilities Regulation
    • Health Services Providers
    • Long-term Care Providers
    • Medicaid Business Resources
    • Provider Training
    • WIC Providers
    • Business
    • Contracting with HHS
    • Electronic Benefit Transfer Program
    • Grants
    • Licensing, Credentialing & Regulation
    • Open Enrollment Opportunities
    • Regulations
    • Forms
    • Handbooks
    • Legal Information
    • Policies and Rules
    • Reports and Presentations
    • About
    • About Us
    • Advisory Committees
    • Community Engagement
    • Financial Information
    • Jobs at HHS
    • Live and Archived Meetings
    • Meetings and Events
    • Process Improvement
    • Records and Statistics
    • Strategic Plans
  • Newsroom
    • Contact
    • HHS Locations
    • Office Closures
    • Open Records Policy and Procedures
    • Social Media
    • Where Can I Find Services?

Breadcrumb

  1. Home
  2. Forms
  • English
  • Español

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
Form 1240-TSI, Request for Information from Bureau of Veterans Affairs and Client's Authorization - TSI
Form 1240, Request for Information from Bureau of Veterans Affairs and Client's Authorization
Form 1140, PACE/SASO Registration Enrollment
Form 1129, Fire Suppression Authority Notification
Form 1127, Fire Marshal/State Fire Marshal Notification
Form 1126, Physician's Assessment
Form 1125, Resident's Request to Remain in Facility
Form 1084, Certification for Warrants Lost, Destroyed, Stolen or Not Received ES
Form 1026, Verification of Railroad Retirement Benefits
Form 1020, Acknowledgement of Responsibility for Reporting Abuse, Neglect and Exploitation and Reasonable Suspicion of Crime
Form 0067, Consent by Roommate for Authorized Electronic Monitoring ES
Form 0066, Request for Authorized Electronic Monitoring
Form 0065, Information Regarding Authorized Electronic Monitoring for Nursing Facilities ES
  • Previous
  • 88

Filter by Series

  • 211 Texas
  • Apply for Benefits
  • Compact with Texans
  • Department of State Health Services
  • Email Encryption
  • File Viewing
  • Jobs at HHS
  • Notice of Privacy Practices
  • Report Fraud, Waste or Abuse
  • Statewide Search
  • Texas.gov
  • Texas Homeland Security
  • Texas Veterans Portal
  • Website Policy
  • Website Help
  • Website Survey

© Copyright 2016-2025. Texas Health & Human Services Commission. All rights reserved.

Facebook Instagram LinkedIn Twitter YouTube