Form H1708-A
Instructions

Report of Noncooperation
(automated version)

01-2000

PURPOSE

The attorney general's office sends information on computer tape to HHSC to

PROCEDURE

When to Prepare

Upon receipt of the attorney general's tape, HHSC state office produces and mails Form H1708-A to the TANF advisor.

Note: Form H1708-A is for TANF cases only.

Distribution

1st copy — mailed to TANF advisor
2nd copy — mailed to TANF supervisor

Form Retention

Retain in case record for three years after denial of the case.

DETAILED INSTRUCTIONS

Follow TANF policies and procedures in TWH Section A-1142.