| Number |
Title |
| AT-Report |
Administrative Terminal Report
|
| FNS-135 |
Affidavit of Return or Exchange of Food Coupons |
| G-845S |
Document Verification Request |
| HHS-ECPS01 |
Justification for Emergency Purchase |
| HHS-ECPS02 |
Justification for Proprietary and/or Sole Source Purchase |
| HHS-ECPS03 |
Justification for Purchase of Professional Membership |
| HHS-ECPS04 |
Justification for Purchase of Non-Professional Membership |
| LSC |
Lone Star Card |
| LSCM |
Lone Star Card Mailer |
| LSCRS |
Lone Star Card Registration Sticker |
| LSCS |
Lone Star Card Sleeve |
| LSIS-LQER |
LSIS-Low Quality Enrollment Response |
| LSIS-MR |
LSIS-Match Response (Vendor Report 04B) |
| LSIS-SER |
LSIS-Successful Enrollment Response (2 Samples) |
| LSISReport1D |
Local Office Report |
| LSISReport8A |
Daily Exception Report |
| PIN |
Personal Identification Number (PIN) Packet |
| R-17 |
Nursing Home Management System Patient Status Report |
| RA-01 |
TANF Activity Report
|
| RA-01C |
TANF Activity Report/Regional Summary by County |
| RA-04 |
TANF Caseload Information by Ethnicity
|
| RA-07AB |
TANF Fraud/Non-Fraud Recoupment Completion Notice |
| RA-103 |
TANF Time Limits - Countable Month Precedes Notification Effective Date
|
| RA-109 |
Excess TANF Benefit for Client Already at FTL Month 60 |
| RA-110 |
TANF SIG 0, 2, or 9 Client at FTL Month 60 |
| RA-18 |
TANF Non-Fraud Recoupment Initiation Notice |
| RA-24 |
List of Warrants on Hold
|
| RA-58 |
Medicaid Report Form Case Listing |
| RA-60 |
Clients Incorrectly Dually Certified for TANF/Medical Programs and SSI |
| RA-66 |
TANF and Texas Works Cases with Unenumerated Clients |
| RA-79 |
GWS TIER Discrepancy Report |
| RA-80 |
JOBS Sanctioned Clients with Tier Level 8 |
| RA-81 |
Adjustment of TANF Time Limit Months
|
| RA-90 |
JOBS Sanctioned Clients with Overlapping Good Cause |
| RA-93 |
JOBS Sanctioned Clients - Notification Effective Date Change
|
| RA-97 |
Voluntary Quit Penalties: Potential Food Stamp Impact |
| RF-01 |
Food Stamp Activity Report |
| RF-03 |
Food Stamp Household Size and Type by Bonus Value (Issuance)
|
| RF-07E-1 |
EBT Reconciliation Exception Report
|
| RF-14 |
Monthly Food Stamp Reminder |
| RF-158-1 |
Employment and Training Program Noncompliance and Sanction Reminder
|
| RF-229 |
TANF Case Adjusted or Denied Due to Time Limit Policies - FS Case Not Converted |
| RF-30-1-3 |
Food Stamp Cases Whose Other Income was Insufficient to Handle TANF $30 or 1/3 Changes |
| RF-36 |
More Than One Food Stamp Benefit Authorized |
| RF-49 |
Pending Application Report |
| RF-50 |
Food Stamp Timeliness Summary Report |
| RF-51 |
Food Stamp Timeliness Detail Report
|
| RF-54 |
Food Stamp Timeliness Worker Summary Report |
| RF-66 |
Food Stamp Cases with Unenumerated Clients |
| RG-01 |
NOA Report |
| RG-02 |
Probable Match Report |
| RG-03 |
Client File Referral Report |
| RG-07 |
Budgeted Job Number Realignment Card |
| RG-09 |
Bendex Information Memorandum |
| RG-09A |
Bendex Memorandum Summary |
| RG-101 |
Income and Eligibility Verification Data |
| RG-150-1 |
Employer New Hire Reporting (ENHR) Worker Report |
| RG-150-1-A |
Employer New Hire Reporting (ENHR) Worker Report |
| RG-150-2-A |
Employer New Hire Reporting (ENHR) Unit Report |
| RG-30 |
Timeliness of Application Disposition |
| RG-300 |
Lone Star Image System Reconciliation Exceptions |
| RG-31 |
Application Disposition Report |
| RG-311 |
Finger Image Exemption Code Usage |
| RG-83 |
SSN Maintenance Memorandum |
| RG-83B |
SSN Maintenance Follow-Up Tracking Report |
| RG-86 |
Income Information Request |
| RG-87 |
Unemployment Claim Data
|
| RLSM |
Request for Lone Star Materials |
| RM-01 |
Medical Assistance Activity Report |
| RN-01 |
Income Assistance Medical Programs Activity Report
|
| RN-23 |
Notice of Future Case Action
|
| RN-24-2 |
Monthly Report of Cases on Hold Code 3 (Type Programs 43 and 48)
|
| RN-74 |
TP 40 End Date Review Required |
| RN-75 |
TP 40 End Date Correction Required
|
| RN-76 |
TP 40 End Date Changed
|
| RP-24B |
Daily Notice of Cases/Benefits Placed On Hold |
| SAMPLE1 |
Potential Eligibility Prescreening Record |
| SCRF |
Second Cardholder Request Form |
| SS-5 |
Application for a Social Security Number Card (Original, Replacement, or Correction) |
| SSA-1610-U2 |
Public Assistance Agency Information Request |
| SSA-2853 |
Message from Social Security |
| SSA-3288 |
Social Security Administration Consent for Release of Information |