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Form H2053-B and Form H2053-BS, Health Plan Selection, provides a means for the individual to inform the Texas Health and Human Services Commission (HHSC) of the individual’s health plan selection. Program Support Unit (PSU) staff must prepare Form H2053-B and Form H2053-BS when the individual needs to select a health plan.
responsibilities. TDHCA encourages completing and submitting the TDHCA Section 3 Cumulative Report (Form S302) to describe outreach efforts, ratios of Section 3 labor hours to total labor hours, and worker training, pursuant to creating economic opportunities for low- and very low-income persons. The LSS or other TDHCA staff will review Section ...
Section 3 does not apply to Homebuyer assistance activities (e.g., down payment assistance). Section 3 requirements apply to the entire project or activity, regardless of whether it is fully or partially funded, (135.3(b)). Section 3 Definitions . Employment Opportunities Generated by Section 3 Covered Assistance — “all employment
Page 1 of 3. FORM B . Pharmacy Services DSHS Open Enrollment No. HHS0014137 . Required Application Documents Submission Checklist . All documents must be formatted with the following minimum guidelines: 1. Times new roman, 10 pt. font 2. Application limited to a maximum of 40 pages. Documentation Required for Submission - All documentation ...
Businesses seeking a preference in contracting on applicable Section 3 projects may qualify as a Section 3 business concern if they meet qualifying criteria. The sample form can help grantees certify and track Section 3 business concerns seeking a preference in contracting.
Order Form for GHSA Publications (Updated July 2023) MEDICAL FORMS Preparticipation Physical History and Evaluation Form (revised 3/9/23) ( NOTE : This is the CORRECT form to use.)
Forms. The purpose of this section is to make the most current forms available with a single resource. Forms are used to collect information and remain in the handbook until the form is no longer necessary. ES = Spanish version available.
