For JAWS users to read and complete the form, save the form as a Word document.

DADS Forms and Instructions

Form PIN

Form Record:

Number: PIN
Title: Personal Identification Number (PIN) Packet
Effective Date: 1/2004
Instructions 1/2004

Availability

PDF: PIN.pdf
Note: This is not an HHSC form. It is not available through this site. Contact the appropriate regional EBT staff for assistance.