To allow a household to verbally agree to pay a food stamp claim by a one-time debit of an active Lone Star food account.
When to Prepare
OIG or ARTS staff completes Form H1021 when a household requests to have a one-time debit of an active Lone Star food account to pay a food stamp claim.
Number of Copies
Complete an original and one copy.
Original — Lone Star Technology
Copy — OIG/ARTS office file
The case folder file is retained for three years or until the claim is repaid, whichever is greater.
- Obtain and enter information from the client to verify identity. Verify the client information on SAVERR.
- Enter OCIS information when the request is made prior to claim establishment. Enter ARTS information when the request is madeafter claim establishment.
- Enter Lone Star Technology ATA information.
- Enter the name, telephone number, and mail code of the OIG or ARTS employee who received the request, the date of the request, and the OIG or ARTS employee's signature.