To allow a household to pay a food stamp claim by monthly debit of an active Lone Star food account.
When to Prepare
OIG or ARTS staff complete Form H1023 when a household agrees to pay a food stamp claim by debit of an active Lone Star food account and requests monthly installment payments.
Number of Copies
Complete an original and two copies.
Original — Case Name
Copy — Lone Star Technology
Copy — OIG or ARTS office file
The case folder file is retained for three years or until the claim is repaid, whichever is greater.
- Enter the case name and mailing address.
- Enter the date, case number, case name, office's name, and address and telephone number of staff completing the letter.
- Enter the amount of the overpayment.
- The client must enter the monthly amount of the debit and sign and date the agreement and return it to HHSC.