Get Tx Hhsc H1028 2022-2025

This guide provides clear and comprehensive instructions on how to complete the TX HHSC H1028 form online. This form is important for verifying employment information needed for state benefit applications.

Follow the steps to accurately fill out the TX HHSC H1028 form online.

1. Click the ‘Get Form’ button to obtain the TX HHSC H1028 form and open it in the editor.
2. Begin by filling in the 'Name and Address' section. This includes providing your full name, home address, and contact details.
3. Fill in the 'Case Name' and 'Case No.' fields, providing any relevant information that pertains to your application.
4. In the section titled 'Fill Out and Sign This Agreement,' you'll need to print your name and allow HHSC to share your Social Security number with the designated employer.
5. Sign and date the agreement to confirm your consent for sharing your employment information.
6. For the employer section, the employer will need to provide their company name, address, and other details about your employment.
7. Employers must answer whether the individual is or was employed and provide details regarding the employment type and rate of pay.
8. If applicable, the employer should complete the detailed wage information for the specified months.
9. Finally, once all sections are filled out, users can review their entries before saving changes, downloading, printing, or sharing the completed form.

Complete the TX HHSC H1028 form online today to ensure your employment verification is processed efficiently.