WebForm 1020. 12/2024. Page 2 of 4. T-01020-3446056215921. Benefit programs affected and due date: Program EDG number Due date. For Medical Assistance 123456789 3/17/23. ... TEXAS HEALTH AND HUMAN SERVICES COMMISSION,P O Box 149024, Austin, Texas 78714-9024 • In person: At a benefits office. To find one near you, go to … WebHHS Headquarters. U.S. Department of Health & Human Services 200 Independence Avenue, S.W. Washington, D.C. 20241 Toll Free Call Center: 1-877-696-6775
1020 Form Texas - Fill Out and Sign Printable PDF Template
WebIf you need immediate assistance accessing the content, please submit a request to Cheryllyn Bachelor (PSC) at [email protected]. Content will be updated pending the outcome of the Section 508 review. Content created by Program Support Center (PSC) Content last reviewed April 6, 2024 WebGet your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below: Feel all the benefits of submitting and completing legal documents on the internet. Using our solution completing Texas Health And Human Services Form 6700 will take a matter of minutes. herve rigneault
Form H1020 - Fill Out and Sign Printable PDF Template
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