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.

Title
Form H1825, Entitlement to Restored Benefits ES
Form H1830-I, Interview Notice – Applications or Reviews
Form H1830-R, Texas Works Renewal Notice ES
Form H1832, Affidavit for Meal Providers to the Homeless
Form H1833, Your Medicaid Benefits Are Ending – Cover Letter ES
Form H1833-L, Your Medicaid Benefits Are Ending ES
Form H1834, Your Medicaid Benefits Have Ended - Cover Letter ES
Form H1834-L, Your Medicaid Benefits Have Ended ES
Form H1836-A, Medical Release and Physician's Statement ES
Form H1837, Physician's Statement of Permanent Disability
Form H1843, Your SNAP-CAP Food Benefits Have Changed
Form H1845, Drug and Alcohol Treatment (D&A) and Group Living Arrangement (GLA) Facility Review
Form H1846, Facility Authorized Representative Interview
Form H1847, Reminder to Submit Form H1852
Form H1851, Reference Guide for Drug and Alcohol Treatment (D&A)/Group Living Arrangement (GLA) Facilities