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Miscellaneous Forms

Displaying 1 - 16 of 16 forms.

ES = Spanish version available.

  • Comptroller Form 74-157, Payee Change Request
  • Comptroller Form 74-176, Direct Deposit Authorization
  • Comptroller Form AP-152, Application for Texas Identification Number
  • Form DMHT, Declaration for Mental Health Treatment   ES
  • Form HRG-83, SSN Maintenance Memorandum   ES
  • Form LivingWill, Directive to Physicians and Family or Surrogates   ES
  • Form LSC, Lone Star Card
  • Form LSCRS, Lone Star Card Registration Sticker
  • Form LSCS, Lone Star Card Sleeve
  • Form SCRF, Second Cardholder Form
  • Form SS-5, Application for a Social Security Number Card (Original, Replacement, or Correction)
  • Form SSA-2853, Message From Social Security
  • Form SSA-3288, Social Security Administration Consent for Release of Information
  • HHS Information Security and Privacy Initial Inquiry (SPI)
  • MPOA, Medical Power of Attorney   ES
  • SDPOA, Statutory Durable Power of Attorney   ES

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