Skip to main content
Skip to right sidebar content
This is the new HHS Forms and Handbooks website. Please update your bookmarks.
Visit Texas Health and Human Services An official Texas Health and Human Services website.
  • HHS Providers Home
Forms and Handbooks
    • Advance Directives
  • Handbooks
  1. Home
  2. Forms

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 H4855, Statement of Household Member's Rights in Administrative Disqualification Hearing ES
Form H4851-C, Notice of Administrative Disqualification Hearing
Form H4833, Appeals Information ES
Form H4806, Request for Another Appointment — Request to Withdraw
Form H4800-ADH, Request for Administrative Disqualification Hearing
Form 3470, Request for Advance or Reimbursement (RAR) Centers for Independent Living Base/Operation Grant
Form 3455, Provider Staff Information
Form 3160, Quarterly Program Performance Report
Form 3155, Base or Operational Grant Budget Revision Request
Form 3153, Purchased Services Contract Monthly Complaint and Inquiries Report
Form 3008, Cost Share Collections/Refund Report
Form 3003, Quarterly Program Income Report
Form 3002, Quarterly Performance Report
Form 3000, Budget Revision Request
Form 3149, Comprehensive Rehabilitation Services Request for Tier Change
  • First
  • Previous
  • …
  • 44
  • 45
  • 46
  • 47
  • Currently on page 48
  • 49
  • 50
  • 51
  • 52
  • …
  • Next
  • Last

Filter by Series

  • Compact with Texans
  • File Viewing
  • Notice of Privacy Practices
  • Report Fraud, Waste or Abuse
  • Statewide Search
  • Texas.gov
  • Texas Homeland Security
  • Texas Veterans Portal
  • Website Policy

© Copyright 2016-2026. Texas Health and Human Services Commission. All rights reserved.

Back to top