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.

  1. Right Click for PC or Ctrl + Click for Mac on the PDF link and click “Save link as” from the menu.
  2. Select the folder you want to save the file in and then click "Save."
  3. 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.

Effective Date: 
1/2010

Documents

Instructions

Updated: 1/2010

 

Purpose

To verify participation in an employment program that meets the criteria for the Supplemental Nutrition Assistance Program (SNAP) 18-50 work requirement.

Procedure

When to Prepare

At application, local workforce staff complete Part I after outreach to verify participation in the Employment and Training (E&T) program for SNAP.

At recertification, Health and Human Services Commission (HHSC) staff provide the form to each non-exempt registrant in the household to verify participation with E&T or another employment program. The household must take the form to the local workforce board for verification and return the completed form to HHSC.

Transmittal

Give one copy to the E&T registrant. E&T staff complete and return the original if the registrant adequately participates. File one copy in the case record under Miscellaneous/Correspondence.

Form Retention

See the Texas Works Manager's Guide for the retention requirement.

Detailed Instructions

Print the case name, case number, date, name of person and Social Security number at the top of the form. Print the HHSC office information at the bottom of the form.

Part I: If a non-exempt registrant is participating in an E&T program after initial outreach by E&T staff, local workforce staff enter an "X" in Part I to verify participation.

Part II: If the form is provided to a non-exempt registrant during recertification and taken to the local workforce center, local workforce staff enter an "X" in Part II to verify current participation in an employment program listed on the form.