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This version of the form is not currently in use and is provided for reference only. Download this version of
Form H1173
for the current year.
Form H1173 Ebt Card Issuance and Pin Self-selection / Issuance Log - Texas
What Is Form H1173?
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 Form H1173?
A: Form H1173 is a document for EBT card issuance and PIN self-selection/issuance log in Texas.
Q: What does EBT stand for?
A: EBT stands for Electronic Benefit Transfer.
Q: What is an EBT card?
A: An EBT card is a plastic card that is used to access and use government benefits, such as food stamps or cash assistance.
Q: What is the purpose of Form H1173?
A: The purpose of Form H1173 is to track the issuance of EBT cards and the selection or issuance of PINs for those cards.
Q: Who needs to use Form H1173?
A: EBT card issuers and individuals who are self-selecting or issuing their own PINs need to use Form H1173.
Q: How should Form H1173 be filled out?
A: Form H1173 should be completed with accurate information for each EBT card issuance and PIN self-selection/issuance.
Q: Is Form H1173 mandatory?
A: Yes, Form H1173 is mandatory for tracking EBT card issuance and PIN self-selection/issuance in Texas.
Q: What happens if Form H1173 is not properly filled out?
A: Failure to properly fill out Form H1173 can result in inaccurate records and potential issues with EBT card management and accountability.
Q: Are there any fees associated with EBT cards?
A: No, there are no fees associated with the use of EBT cards in Texas.
Form Details:
- Released on June 1, 2015;
- 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 printable version of Form H1173 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
