Get Tx Hhsc H1028 1999-2025

The TX HHSC H1028 form is essential for verifying employment information for individuals applying for assistance from the Texas Health and Human Services Commission. This guide will provide you with clear, step-by-step instructions to help you complete the form online accurately and efficiently.

Follow the steps to successfully complete the TX HHSC H1028 form.

1. Click the 'Get Form' button to obtain the form and open it in your preferred editing platform.
2. Begin by filling in the caseworker's details, including their office address and telephone number at the top of the form.
3. Enter the name and address of the employee or household member for whom you are verifying information.
4. In the section regarding the individual's social security number, be sure to enter it accurately, as it is crucial for identification.
5. Indicate whether the person is currently employed. If yes, specify what type of job they hold (full-time, part-time, permanent, or temporary).
6. Provide information about the payment frequency and average hours worked per pay period.
7. Complete the section regarding additional pay, such as overtime pay, commissions, or bonuses. Mark whether health insurance is available and name the insurance company.
8. If applicable, include details about leave without pay and any expected changes to the provided information in the coming months.
9. Utilize the chart provided to list all wages received by the employee during the specified pay periods, detailing gross pay and other types of pay.
10. If the individual is no longer employed, fill out the separation details, including the date of separation and reason for leaving.
11. Review all entries for completeness and accuracy. After completing the form, you can save any changes, download, print, or share it as needed.

Begin filling out your TX HHSC H1028 online today to assist those applying for important services.