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Download and print the forms you need or ask us to mail them to you.

All paper forms available

Forms to apply for benefits

Form to apply for Food Benefits (SNAP), Healthcare (Medicaid and CHIP), or cash help for families (TANF) (H1010)
Form to apply for Medicaid for the Elderly and People with Disabilities or Medicare Savings Program (H1200)
Form to apply for Medicaid for People with Disabilities who Work -- Medicaid Buy-In (H1200-MBI)
Form to apply for: (1) Medicaid or CHIP, or (2) help paying for private health insurance (H1205)
Form to apply for Prior Medical Coverage (H1113)
Form to apply for Food Benefits (SNAP) for the Texas Simplified Application Project (TSAP) (H0011)

Forms to give proof for benefits

Form to give proof of employment -- for the Medicaid Buy-In for Children program (H1028MBIC)
Form to give proof of people living in your home (H1155)
Form to give proof of money you get from self-employment (H1049)
Form to give proof of money you have in the bank (H1239)
Form to give proof of insurance policies that you have (H1238)
Form to give proof of the home you rent (H1857)
Form to give proof of money you pay for child care (H1135)
Form to give proof that you are going to school (H1086)
Form to give proof that you are pregnant (H3037)
Form to give proof of emergency medical services (H3038)
Form to give proof you can't work -- doctor's statement (H1836A)
Form to give proof of money you get from pensions / retirement (H1214)
Form to give proof of military service (H1240)
Form to give proof of Rail Road Retirement Benefits (H1026)
Form to give proof for getting Texas Health Steps checkups or attending a health care class / orientation (H1024)
Form to give proof of employment (H1028)
Form to give proof a person is following parole or community supervision rules (H1806)

Other forms

Form to appoint an authorized representative -- to allow another person to act for you (H1003)
Form to agree to let us get information about you / agreement to release your facts (H0003)
Forms you want mailed