Start with the current application format
Use HHSC’s current Form 3906 page rather than an old saved packet. The instructions warn against submitting an expired application and identify an accessible Word version for people using a screen reader.
Before filling it out, note which portions belong to the applicant and which belong to the certifier. If the format itself creates an access barrier, ask HHSC for help obtaining an accessible version.
Match the physical address and residency evidence
The applicant’s physical address cannot be a post office box, although the mailing address may differ. HHSC asks for recent residency evidence matching the physical address and the applicant’s name or the name of the parent or legal guardian signing the application.
Compare spelling, apartment numbers and dates before making the packet. If you receive mail through a relative or another address, keep the physical and mailing fields distinct instead of changing evidence to force a match.
Ask the certifier to address telephone access
The certification concerns the disability-related limitation affecting telephone-network use. Applicants cannot certify themselves, and the form requires original signatures, including the certifier’s signature.
Give the certifier the current instructions and explain the telephone task you need to perform. Ask them to complete their own assessment and fields; do not prefill a professional conclusion or substitute a copied or stamped signature.
Mail a complete packet and track follow-up
HHSC’s instructions prohibit fax or email submission. Follow the current official mailing directions, including the original-signature requirements; an applicant signing with an X needs the specified witness information.
Keep a copy for your records and note when you mailed the packet. If HHSC asks for missing information, record the exact request and due date. The application is for the program’s equipment process, not payment for internet service or a clinical appointment.
Your next-step checklist
- Open the current Form 3906 instructions and check the application expiration.
- Use an accessible form version if needed.
- Match the physical address and the applicant or signing parent/legal guardian name to the required residency proof.
- Have the appropriate certifier complete and originally sign their portion.
- Mail the signed packet using the current instructions and retain a copy.
Keep personal, insurance and medical information in the appropriate organization’s approved secure channel.
Common questions
Can I email or fax the completed application?
No. The current HHSC instructions say not to submit the application by fax or email and require original signatures. Use the mailing instructions on the official page.
Is this a telehealth or internet-service benefit?
STAP addresses specialized equipment for telephone-network access. Do not assume its application pays for broadband, a video platform or a healthcare visit.
Sources and verification
The sources below support the administrative information in this guide. Follow the responsible organization’s current instructions when requirements, forms or contact routes change.
- HHSC Form 3906 STAP application instructions — checked .