Download our free Return to Work Letter template and explore samples for a smooth transition back to the workplace. The Owner of Record may use this form to authorize a Third Party to process and pick up.Use manual Form H1028 when TIERS is down and a person cannot furnish sufficient verification of income or mandatory deductions. Please print and fill out the appropriate form. You may mail the form or bring it in person to the Justice Court, Precinct 4. If you would like a copy of your record, we will be glad to help you complete a written request. This guide describes how to apply for jobs using the Career Page web site. The process consists of the following steps: JPS offers Financial Assistance to eligible individuals. We serve the healthcare needs of all patients, regardless of ability.