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.
If still having trouble viewing or downloading a form, click here.
To provide Texas Works advisors and Texas Health Steps staff a source to verify and document compliance with Texas Health Steps requirements. Note: Complete additional forms if verification is needed for more than two children.
When to Prepare
Texas Works advisors prepare and fax Form H1087 to Texas Health Steps staff to obtain verification of compliance with Texas Health Steps.
Texas Health Steps staff prepare and fax Form H1087 to the Regional Texas Health Steps liaison, if contacted by a client requesting verification of Texas Health Steps compliance.
Texas Works Advisors fax a copy to Texas Health Steps staff at 512-533-3867. Texas Health Steps staff fax to regional Texas Health Steps liaisons. Regional Texas Health Steps liaisons fax the copy to Texas Works advisors for processing.
Image original and faxed copies of Form H1087 into the household's electronic case record in the state portal.
Keep Form H1087 for three years from the month the form is signed by the Texas Health Steps worker.
From Texas Works Advisor — Completed by Texas Works advisor.
From Texas Health Steps Staff — Completed by Texas Health Steps staff.
Case Name — Enter the case name, case number, and the family's address and phone number.
1. Name of Child — Enter the child's name, date of birth and client number for the Texas Health Steps worker to verify the Texas Health Steps checkup.
The caretaker states that this child received a Texas Health Steps checkup from — Enter the provider's name and phone number (if available) and the date the caretaker states the child had the Texas Health Steps checkup.
Please provide additional information that could assist with the Texas Health Steps checkup verification such as the location of the provider's office if a phone number is not available — Completed by Texas Works advisor.
Reply From Texas Health Steps Worker — The Texas Health Steps worker completes.
Texas Health Steps Checkup Verified — Self-explanatory.
Client Initiated Contact — Self-explanatory.
2. Name of Child — Complete for a second child, if applicable.
I hereby give my permission — Completed by Texas Works advisors. If conducting a face-to-face interview or home visit, have the client sign the form in case the provider requires the client's authorization to release the checkup information.