Texans can dial 2-1-1 (option 6) for information on COVID-19 and local community resources on health care, utilities, food, housing and more. More COVID-19 information.
Downloading a Form to Your Computer
Fillable forms cannot be viewed on mobile or tablet devices. Follow the steps below to download and view the form on a desktop PC or Mac.
- Right Click for PC or Ctrl + Click for Mac on the PDF link and click “Save link as” from the menu.
- Select the folder you want to save the file in and then click "Save."
- Navigate to the folder you saved the file in and Right Click for PC or Ctrl + Click for Mac, then select "Open With" from the menu and select Adobe Acrobat Reader DC.
Note: Open the PDF file from your desktop or Adobe Acrobat Reader DC. Do not click on the downloaded file at the bottom of the browser since it will not open the PDF in Adobe Acrobat Reader DC. It will try to open the file in the browser that results in the same browser error message.
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To verify income if the household is unable to give suitable documentation.
When to Prepare
The worker prepares Form H1050 if a current award letter is unavailable to verify unearned income, such as government or other pension checks, or if no other verification of earned income is available.
Number of Copies
The worker gives the form to the household to be completed by the household member who cashes the check or checks in question. The worker files the completed form in the case folder with the Form H1801, Food Stamp Worksheet, or Form H1101, TANF Worksheet.
Form H1050 is kept for three years.
The worker completes only client name, case name, case number, worker name, and date.
The remainder of Form H1050 is self-explanatory.