Healthier Texas Ladies. Mail or Fax The Application

Healthier Texas Ladies. Mail or Fax The Application

Just how to Apply?

Apply On Line

To use, you can easily fill out the application online here en Espanol or visit When prepared, we shall need evidence of:

  • Your identification.
  • The funds you create.
  • The amount of money spent on youngster care and son or daughter help.
  • Your citizenship and immigration status.

Please be aware: This application that is online on desktop computers, although not on smart phones or pills. If you work with one of these brilliant products, other application choices are given just below.

You’ll install the proper execution en Espanol, fill it down by hand, and mail it or fax it to us at:

Healthier Texas Ladies P.O. Box 149021 Austin, TX 78714-9021 Fax (toll-free) 1-866-993-9971

You a letter asking for proof of your identity; the money you make; the amount of money you spend on child care or child support; and your citizenship or immigration status after we receive your form, we’ll send. Types of evidence are the following.

Apply Face-to-face. Samples of Proof We Want

In addition can use at a hospital that provides Healthy Texas Women solutions. Fill in the shape in the center and you also might receive solutions the day that is same. You’ll find a participating clinic using the discover a physician device to your right.

Grab a software form at a Women, Infants and kids (WIC) Nutrition Program workplace. Call 1-800-942-3678 (toll-free) to locate a WIC office.

It is possible to make an application for Healthy Texas Women throughout the phone by calling 2-1-1. We are able to bring your call from 8 a.m. To 6 p.m. Central Time, to Friday monday.

Proof showing just just exactly how money that is much get:

  • Paycheck stub a fantastic read or content of a check through the final 60 times.
  • Kinds that somebody in your household is with in a benefits system:
    • Your Texas Benefits Medicaid ID card for just one of the kids.
    • WIC verification of official official certification ( this indicates you’re in the WIC system).
    • WIC voucher.
    • WIC / Lone celebrity Card grocery list.
  • A page from a company.
  • Court documents that demonstrate you obtain son or daughter help.
  • Unemployment benefit award letter or pay stubs.
  • Supplemental safety Income letter that is award pay stubs.

Proof showing just how much you spend:

  • Receipts or earnings taxation statements that demonstrate what you pay money for daycare expenses.
  • Court documents, canceled checks, wage withholding statements that demonstrate just how much you purchase youngster help.

Proof showing your identity and citizenship:

  • A U.S. Passport.
  • A certification of naturalization.
  • A certification of U.S. Citizenship.
  • The 3 things above prove both citizenship and and citizenship

Evidence of Citizenship

Evidence of Identity

U.S. Birth certification

Present license with picture

U.S. Resident ID card

DPS ID card with picture (as an example: Texas ID card)

Hospital record of birth

School or work ID card with picture

North Mariana ID card

American Indian card with category code KIC

Spiritual record of delivery with place and date of delivery, such as for example baptism record

Affidavit from 2 adults developing the date and put of delivery in the usa

A good example of a product that displays proof immigration status can be an alien registration card or document through the Bureau for Citizenship and Immigration Services (formerly INS).

You must prove citizenship, immigration and identity just one time. You don’t need certainly to deliver these products once again if you reapply.

Healthy Texas Women provides women’s health insurance and household preparation services.

Whom can put on?

Getting advantages of the program, you need to satisfy requirements that are certain.

Issues & Responses

Get responses to questions regarding coverage, advantages and much more.