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 1749, Employer and Entity Service Agreement ES
Form 1745, Service Delivery Log with Written Narrative/Written Summary
Form 1737, Employer and Employee Service Agreement ES
Form 1732-EMR, Management and Training of Service Provider Addendum
Form 1731, Employee Work Schedule and Assigned Tasks
Form 1730, Wage and Benefits Plan Employee Compensation
Form 1727, Occupational Exposure to Bloodborne Pathogens
Form 1725, Criminal Conviction History and Registry Checks
Form 1724, New Employee Packet Cover Sheet
Form 1587, Financial Management Services Agency (FMSA) First Consumer Fax Cover Sheet
Form H1297, Request for Information from Teacher Retirement System of Texas
Form H1243-FTI, Verification of Civil Services Benefits - FTI
Form H1243, Verification of Civil Services Benefits
Form H1240-FTI, Request for Information from Bureau of Veterans Affairs and Client's Authorization - FTI
Form H1240, Request for Information from Bureau of Veterans Affairs and Client's Authorization