To provide the Texas Works advisor with a method to request a one-time grandparent payment from State Office Data Integrity (SODI). This form can be accessed through the local area network (LAN) or generic worksheet (GWS).
Complete Form H1082 after determining a household is eligible for the one-time grandparent payment.
Complete an original and one copy.
Send the original form to SODI at Mail Code Y-922, or fax to 512-706-7140.
File the copy under Miscellaneous/Correspondence. Keep it for three years after the case is denied.
From, Mail Code, Telephone No., BJN, and Emp. No. — Enter the information identifying the advisor to whom database support staff will respond.
Case Number — Enter the Temporary Assistance for Needy Families (TANF) case number. If there is more than one TANF case number, use only one.
Case Name — Enter the case name that corresponds to the case number.
Benefit Effective Month — For applications, enter the grant effective date. For complete and incomplete reviews, enter the month the advisor determines the client is eligible for the supplement.
Client Address — Enter the client's address.
Client No., Name, Sex, Date of Birth, Social Security No. — Enter the information that identifies the certified group members eligible for the one-time grandparent payment. If the client has no client number, enter zero.
Comments — Enter comments for SODI as needed.
Signature — Texas Works Advisor and Date — The advisor signs and dates the form.
Signature — Supervisor and Date — The supervisor signs and dates the form.
Response from Data Integrity — Data Integrity staff respond to the advisor.
Signature — Data Integrity Staff — SODI staff signs and dates the form, prints his name and provides his area code and telephone number.