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HHSC Forms and Instructions

Form H1200

Form Record:

Number: H1200
Title: Application for Assistance – Your Texas Benefits
Effective Date: 08/2011

Availability

Link:

English Version:
http://www.hhsc.state.tx.us/help/1200-eng.pdf

Spanish Version:
http://www.hhsc.state.tx.us/help/1200-span.pdf