Form H1106 Enumeration Referral Guidelines
This document provides essential information regarding Form H1106, the Enumeration Referral process. It outlines the procedures for clients applying for a Social Security Number in Texas. Understanding this form is crucial for eligibility services staff to assist applicants efficiently.
Edit, Download, and Sign the Form H1106 Enumeration Referral Guidelines
Form
eSign
Add Annotation
Share Form
How do I fill this out?
Filling out Form H1106 requires accurate information regarding the applicant's Social Security Number status. Ensure to print from the official Texas Works Handbook to avoid issues. Follow the steps outlined carefully for a successful submission.
How to fill out the Form H1106 Enumeration Referral Guidelines?
1
Print Form H1106 from the official Texas Works Handbook.
2
Check the appropriate reason for referral and request a receipt.
3
Complete and sign the form.
4
Provide the local SSA office information.
5
Ensure the form is properly documented in the case comments.
Who needs the Form H1106 Enumeration Referral Guidelines?
1
Individuals applying for assistance who do not have a Social Security Number.
2
Legal aliens seeking benefits but require an SSN to proceed.
3
Supervisors in the Texas Works program to assist their staff effectively.
4
Eligibility services staff needing to guide applicants through SSA referrals.
5
Case managers handling applications that involve Social Security matters.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Form H1106 Enumeration Referral Guidelines along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.
Edit your Form H1106 Enumeration Referral Guidelines online.
On PrintFriendly, editing this PDF can be done directly within our software. You can modify text, add necessary information, and adjust the layout according to your preferences. Our intuitive tools make it easy to create a final version that meets your requirements.
Add your legally-binding signature.
Signing the PDF on PrintFriendly is simple and efficient. You can add your signature directly in the editor and place it exactly where needed. This ensures that your document is ready for submission without the hassle of printing and rescanning.
Share your form instantly.
Sharing PDFs on PrintFriendly is quick and convenient. After making your edits, easily share the document via email or other platforms directly from our interface. This feature allows for seamless collaboration and communication with colleagues or clients.
How do I edit the Form H1106 Enumeration Referral Guidelines online?
On PrintFriendly, editing this PDF can be done directly within our software. You can modify text, add necessary information, and adjust the layout according to your preferences. Our intuitive tools make it easy to create a final version that meets your requirements.
1
Open the PDF in PrintFriendly’s editor.
2
Click on the text field you wish to edit and make changes.
3
Utilize our tools to add more information or adjust formatting.
4
Review the document to ensure all data is correct.
5
Download the final edited PDF once you're satisfied.
What are the instructions for submitting this form?
To submit Form H1106, you can fax it to the local SSA office. Alternatively, you can physically mail the completed form to the address specified on the document. Ensure to check with your local office for the most accurate submission guidelines, and always keep a copy for your records.
What are the important dates for this form in 2024 and 2025?
The revised Form H1106 became effective in July 2012. Ensure you are using the latest version to avoid issues. Updates or modifications will be communicated when applicable.
What is the purpose of this form?
The primary purpose of Form H1106 is to facilitate the referral process for individuals who do not possess a Social Security Number. This form is crucial for applicants seeking benefits from the Texas Health and Human Services Commission. By accurately completing this form, staff can ensure that applicants receive the necessary support while adhering to regulations.
Tell me about this form and its components and fields line-by-line.
- 1. Case Name: The name of the case under which the applicant is applying for assistance.
- 2. Client Name: The full name of the individual applying for a Social Security Number.
- 3. Client Date of Birth: The date of birth of the client for identity verification.
- 4. Client No.: Identification number assigned to the client.
- 5. Case No.: Identification number for the case related to the assistance application.
- 6. Social Security Adm. Dist./Branch Office: The local SSA district or branch office handling the applicant's case.
What happens if I fail to submit this form?
If you fail to submit Form H1106, it may result in disqualification from receiving necessary benefits. This can adversely affect an applicant's eligibility for assistance programs. Timely submission is crucial to avoid delays.
- Delayed Assistance: Failure to submit may lead to a delay in receiving benefits or services.
- Ineligibility for Benefits: Without proper documentation, applicants may be deemed ineligible for needed support.
- Increased Workload for Staff: Incomplete submissions can increase the workload for eligibility services staff.
How do I know when to use this form?
- 1. New Applicants: For any individuals applying for benefits who need to establish their SSN.
- 2. Legal Aliens: When legal aliens are eligible for benefits but lack proper SSN documentation.
- 3. Referral to SSA: Used by staff to refer clients to the Social Security Administration for SSN processing.
Frequently Asked Questions
How do I fill out Form H1106?
To fill out Form H1106, print it from the Texas Works Handbook and enter the necessary information. Ensure you check the correct boxes regarding the SSN requirements of the individual.
Where do I submit Form H1106?
Completed forms should be submitted to the relevant local SSA office, as specified on the form.
Can I edit Form H1106 online?
Yes, you can edit the PDF version of Form H1106 using PrintFriendly's PDF editor before downloading.
What if I don’t have a Social Security Number?
If you do not have an SSN, you will need to fill out Form H1106 and follow the referral process to the SSA.
Is there a deadline for submitting this form?
There is no specific deadline mentioned, but you should submit it as soon as possible to avoid delays in receiving assistance.
What should I do if I make a mistake on the form?
If you make a mistake, you can easily edit the PDF using PrintFriendly and correct the necessary sections.
How can I ensure my submission is accepted?
Ensure that all required fields are filled out accurately and that you follow local procedures for submission.
Can I share Form H1106 with others?
Yes, you can easily share the edited PDF version of Form H1106 using the sharing feature on PrintFriendly.
What happens if I fail to submit this form?
Failure to submit this form can result in the disqualification of benefits for which you may be eligible.
Where can I find additional resources about Form H1106?
You can visit the Texas Works Handbook website or consult with your regional supervisor for more information.
Related Documents - H1106 Enumeration Referral
Preparticipation Physical Evaluation Form
The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.
Health Insurance Tax Credits Guide 2015
This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.
TSP-77 Partial Withdrawal Request for Separated Employees
The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.
Ray's Food Place Donation Request Form Details
This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.
Pastoral Ministry Evaluation Form for Board of Elders
This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.
Health Provider Screening Form for PEEHIP Healthcare
This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.
Common Law Marriage Declaration Form for FEHB Program
This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.
MyPRALUENT™ Enrollment Form Instructions and Details
This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.
Application for Certified Copy of Birth Certificate
This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.
Torrance Memorial Physician Network Forms for Patients 18+
This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.
Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone
This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.
Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.
