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.

ES = Spanish version available.

Title
Form 3031, Children with Special Health Care Needs (CSHCN) Program Application
Statutory Durable Power of Attorney (SDPOA) ES
Form 8647, Service Coordination Assessment – Intellectual Disability Services ES
Form H1808, Agreement to Follow SNAP Work Rules ES
Form 3239, Initial Licensed Sex Offender Treatment Provider or Affiliate Sex Offender Treatment Provider Licensure Application
Form H1010, Texas Works Application for Assistance – Your Texas Benefits ES
Form 2960, CCR Application for a License to Operate a Residential Child Care Facility
Form 2910, CCR Application for a License or Certification to Operate a Child Day Care Facility
Form 2971, Child Care Regulation Request for Background Check ES
Form H1024, Subject – Self-Declaration Notice ES
Form 5831, Community-based Programs – Community Care Services Contracts (CCSC) Contract Application Packet Checklist, Regionally Enrolled
Form 8511, Understanding Program Eligibility and Services ES
Form 8615, HCS and TxHmL – On-site and Off-site Individualized Skills and Socialization Service Delivery Log
Form 2032, Escheatment of Consumer Funds
Form 8515, Guidelines for Determining Less Restrictive Setting