Tobacco Settlement Expenditure Statements

See the English File Viewing Information or Spanish Información de visualización de archivos page for help downloading software to view and print Word and other file formats.  Please download the form and use Adobe Reader or Adobe Acrobat to complete it.

Counties

• County expenditure statement (PDF, 489 KB)
• County instructions (PDF, 176 KB)

Hospital Districts

• Hospital district expenditure statement (PDF, 954 KB)
• Hospital district instructions (PDF, 136 KB)

Questions or Comments:

Texas Department of State Health Services
Funds Coordination and Management Branch
PO Box 149347 MC 4501
Austin, TX 78714-9347
DSHSTobacco@dshs.texas.gov
512.776.2591
512.776.7774 (fax)