Posted on April 2, 2019

FORM H1028 PDF

Form to apply for Food Benefits (SNAP), Healthcare (Medicaid and CHIP), or cash help for families (TANF) (H) Form to give proof of employment ( H). Social Security number (SSN) to the employer listed on this form. My SSN can be impaired, call or All numbers are free to call. H Form HMBIC / Return form to: HHSC-Midland. P.O. Box Midland, TX or. Fax number: Employment.

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Form H1028

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