1. Name (person getting money from self-employment): — Enter name of the household member with self-employment income. This law requires that you sign a consent form authorizing: (1).Number H1050, Title Check Verification. Mail your completed form with payment to the San Antonio Police Department Identification Office. Sending documents via certified mail always adds another layer of professionalism to your payment practices. Number H4701, Title HHSC Out Card. Are you enrolled in the Family Self-Sufficiency (FSS) Program? Employees cannot begin work until their eForm is complete. Skip to main content (Press Enter).