Form H1200

Form Record:

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

Availability

Link:

English Version:
http://yourtexasbenefits.hhsc.texas.gov/sites/default/files/docs/1200-eng.pdf

Spanish Version:
http://yourtexasbenefits.hhsc.texas.gov/sites/default/files/docs/1200-span.pdf