Form H1028 PDF Details

If you're like most people, you probably think that the only time you need to worry about tax forms is when you're filing your taxes. However, there are actually a number of other times throughout the year when you may need to fill out a form or two. One such form is Form H1028, which is used to report business income and expenses. While it can seem daunting at first, understanding what this form is for and how to complete it isn't too difficult. In this blog post, we'll take a closer look at Form H1028 and provide some tips on how to properly fill it out.

This figure has got information regarding form h1028. You might like to look at it before filling out the form.

Form NameForm H1028
Form Length2 pages
Fillable fields1
Avg. time to fill out42 sec
Other namesform 1028, form h1028, 1028 form, about form 1028

Form Preview Example

Name and Address



Office Address, Area Code and Telephone No.

Area Code and Fax No.

Employee and Household Member

Social Security No.

This individual is a member of a household applying for assistance from the Texas Health and Human Services Commission or has income that affects another household's application for assistance. To determine the household's eligibility, it is necessary to verify all earnings. Since this person is (or was) your employee, your help is needed.

Here's How You Can Help: Please provide the information requested on the back of this letter. Please ensure that all information is complete and correct, since it will affect someone's eligibility and benefits. If a question does not apply, mark it N/A. After you complete the form, give it to your employee or mail it in the envelope provided -or you may Fax it to the number listed above.

This information is needed by

. Please send it before this date.

Notice To Employers: You may be eligible for a tax refund, credit or both for hiring recipients who receive TANF or food stamp benefits. For more information contact the Texas Workforce Commission, Work Opportunity Tax Credit Unit at 800-695-6879.

Thank you for helping. If you have questions, please feel free to call.

Case Name

Case No.



give my permission to release the information requested on this form.




























Form H1028 / 11-2018

Form H1028

Page / 11-2018-E

Employment Verification

Employee Name (as shown on your records)

Employee Address (Street, City, State, ZIP Code - as shown on your records)

Is (or was) this person employed by you?

If yes, what type of job?













If no: Stop here – sign and date the bottom of this form and return it.

If yes: Answer all the questions below. If a question doesn’t apply, write “N/A

Rate of Pay












How Often Paid?

Average Hrs. per Pay Period

Commissions/Tips/Bonuses Overtime Pay






FICA or FIT withheld

Profit Sharing/Pension Plan

If yes, current value






Health insurance available?

If yes, employee is:

Name of insurance Company






Enrolled with

Enrolled for





Family Member

Self Only









Date Hired


Date first check received

Average hours per Week

If Employee is/was on

Start Date

End Date







Leave Without Pay:












Do you expect any changes to the above


If yes,









information within the next few months?









On the chart below, list all wages received by this employee during the month(s) of:

Date Pay Period Ended

Date Employee

Received Paycheck

Actual Hours

Gross Pay

Other Pay*

(tips, commissions, bonuses) EITC Advance

* Please explain (in comments section below) when and how often tips, commissions, or bonuses are received.

If this person is no longer in your employ:

Date Separated

Reason for Separation

Date Final Check Received

Gross Amount of Final Check

















Company or Employer

Address (Street, City, State, ZIP code)



This information is true and correct to the best of my knowledge and belief.

Signature – Person Verifying this Information



Area Code and Telephone No.

How to Edit Form H1028 Online for Free

This PDF editor makes it easy to fill out forms. You should not perform much to update h1028 rev 4 2015 1 eng files. Merely adhere to the following actions.

Step 1: On this web page, choose the orange "Get form now" button.

Step 2: You're now free to modify h1028. You possess a variety of options thanks to our multifunctional toolbar - you can add, erase, or change the content material, highlight the certain sections, as well as conduct other sorts of commands.

Please type in the following details to prepare the h, 1028 PDF:

portion of spaces in h1028 proof of employment

Write down the expected particulars in the field Case, Name Case, No Signature, and Date.

Completing h1028 proof of employment part 2

The software will demand you to provide certain significant info to easily fill out the section Employee, Name, as, shown, on, your, records Is, or, was, this, person, employed, by, you If, yes, what, type, of, job Yes, Full, Time Part, Time Permanent, Temporary, Per, Hour Per, Day Per, Week Per, Month Per, Job How, Often, Paid and Average, Hrs, per, Pay, Period

stage 3 to filling out h1028 proof of employment

The Date, Pay, Period, Ended Date, Employee Received, Paycheck Actual, Hours Gross, Pay Other, Pay tips, commissions, bonuses, E, IT, C, Advance Comments, Date, Final, Check, Received and Gross, Amount, of, Final, Check field can be used to point out the rights and obligations of both sides.

Filling out h1028 proof of employment stage 4

Finish by checking the following sections and completing them accordingly: Company, or, Employer Address, Street, City, State, ZIP, code Date, Title, and Area, Code, and, Telephone, No

Entering details in h1028 proof of employment step 5

Step 3: Choose the Done button to assure that your finished document may be exported to any device you select or forwarded to an email you specify.

Step 4: It can be easier to prepare copies of your document. There is no doubt that we are not going to display or check out your particulars.

Watch Form H1028 Video Instruction

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