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Texas Employment Verification Form
Get your Texas Employment Verification Form in 3 easy steps
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01 Fill and edit template
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What Is the Texas Employment Verification Form?
This is Texas Health and Human Services Commission (HHSC) Form H1028, Employment Verification. HHSC sends it to a person applying for or receiving benefits (such as SNAP, TANF or Medicaid) so their employer can confirm their job and pay details. It is not a general employment verification letter for loans or rentals.
How to Fill It Out
- The client signs the agreement at the top, which lets the employer give HHSC facts about their employment.
- The employer completes the employment section: dates of work, pay rate, hours and the wages paid.
- The employer signs and returns the form to HHSC by the date written on it, by fax or mail to the address on the form.
For help, the form lists 2-1-1 or 877-541-7905.
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Fillable online Texas Employment Verification Form