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Effective Date: 10/2015
- To request case records from another office.
- To transfer case records to another office.
- To serve as a local office record of all case records transferred to another office.
When to Prepare
Staff requesting a case prepare the form when an individual with a case record in another office applies for assistance or existing program services are being continued for an individual in another office.
Staff in the office that sends the case record complete the form to transfer a case record when staff in another office request it.
Number of Copies
Complete an original and one copy.
Staff requesting a case record from another office complete appropriate information and send the original Form 1031 to the losing office. Keep the copy of the form in a pending file.
Staff sending the requested case record complete appropriate information on the form and send the original, with the case record, to the address indicated in "The Gaining Office" section of the form. Keep one copy in a file for transferred cases.
The original and copies are kept until no longer needed.
Staff initiating the transfer.
Section I — Identifying Information — Enter the identifying information and case or individual number for the case record. Use information from the Texas Integrated Eligibility Redesign System (TIERS) inquiry to ensure the information is accurate.
Section II — Reason for Transfer — Complete this section when requesting a case record from another office. Include in the comments section any information that will be helpful to staff in the office that sends the case record.
Section III — Losing Office Action — Complete this section when completing a transfer to the requesting office.
Section IV – Procedures to Complete Case Transfer – Complete the appropriate section for procedural steps to initiate transferring the individual’s services.