Applications Filed by Phone

An applicant, recipient, or AR may complete and sign an application by phone.

The applicant or AR may complete and sign an application over the phone by:

providing their information over the phone to the customer care representative; and

signing the application over the phone by stating their name and agreeing to a penalty of perjury statement read by the customer care representative. This information is being recorded for verification.

The customer care representative enters and submits the information provided by the applicant or AR through YourTexasBenefits.com.

Note : HHSC staff cannot accept telephonic signatures.

Applications signed and submitted over the phone by the applicant or AR are considered signed by phone except when:

the applicant or AR declines to sign the application by phone; or

a non-applicant or non-AR completes the application by phone for the household.

Correspondence is sent based on the following actions taken by the applicant or AR:

Action Correspondence Applicant or AR signs the application by phone Form H1031, Telephonic Signatures Cover Letter, notifies the household a telephonically signed Medicaid or TANF application or renewal was submitted. Or Form H1031A, SNAP Telephonic Signatures Cover Letter, notifies the household a telephonically signed SNAP application or renewal was submitted. It gives the household an opportunity to make and return corrections to HHSC. Applicant or AR declines to sign the application by phone Form M5021A, Request for Missing Signature Cover Letter, notifies the person a signature is needed to complete the application process for TW medical programs; and The unsigned Form H1010, Texas Works Application for Assistance - Your Texas Benefits , populated with information provided over the phone. Or Form M5021C, Cover Letter for Missing Signature Letter, notifies the person a signature is needed to complete the application process for TW medical and MEPD programs; The unsigned Form H1010, which is populated with information provided over the phone; or The unsigned Form H1200, Application for Assistance - Your Texas Benefits , is populated with information provided over the phone. Applicant or AR declines to sign the renewal by phone Form H1032, Cover Letter for Unsigned Your Texas Benefits Renewal Form, which notifies the person a signature is needed to complete the renewal process; and Form H2020-YTB, Your Texas Benefits Renewal Form, the unsigned renewal populated with information provided over the phone.