PDF
Word
Form 2059-W Summary of Individual's Need for Service Worksheet - Texas
What Is Form 2059-W?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of Form 2059-W?
A: Form 2059-W is used to summarize an individual's need for service in Texas.
Q: Who uses Form 2059-W?
A: Form 2059-W is used by individuals in Texas who need to apply for services.
Q: What information is included in Form 2059-W?
A: Form 2059-W includes information about an individual's disability, medical condition, and the services needed.
Q: Is there a deadline for submitting Form 2059-W?
A: There is no specific deadline for submitting Form 2059-W, but it is recommended to submit the form as soon as possible.
Q: What happens after submitting Form 2059-W?
A: After submitting Form 2059-W, you will be contacted by an HHSC representative to discuss your needs and determine eligibility for services.
Q: Are there any fees associated with Form 2059-W?
A: There are no fees associated with submitting Form 2059-W.
Q: Can I appeal if my application for services is denied?
A: Yes, you have the right to appeal if your application for services is denied. The appeal process is explained in the denial notice you receive.
Q: Can someone help me fill out Form 2059-W?
A: Yes, you can get help from a family member, friend, or a trusted professional to fill out Form 2059-W.
Form Details:
- Released on July 1, 2013;
- The latest edition provided by the Texas Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 2059-W by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
