Form H1854 Affidavit for Unauthorized Use of Electronic Benefit Transfer (Ebt) Benefits - Texas

Form H1854 Affidavit for Unauthorized Use of Electronic Benefit Transfer (Ebt) Benefits - Texas

What Is Form H1854?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form H1854?
A: Form H1854 is the Affidavit for Unauthorized Use of Electronic Benefit Transfer (EBT) Benefits in Texas.

Q: What is an EBT benefit?
A: EBT stands for Electronic Benefit Transfer, which is a system that allows recipients of government assistance benefits to electronically access their funds.

Q: Who should use Form H1854?
A: Form H1854 should be used by individuals who believe that their EBT benefits have been wrongfully used without their permission.

Q: What information is required on Form H1854?
A: Form H1854 requires detailed information about the individual filing the affidavit, the unauthorized transactions, and any supporting documentation.

Q: What should I do once I have completed Form H1854?
A: Once you have completed Form H1854, you should submit it to the HHSC Office of Inspector General (OIG) along with any supporting documentation.

Q: What happens after I submit Form H1854?
A: After you submit Form H1854, the HHSC OIG will review your affidavit and conduct an investigation into the unauthorized use of your EBT benefits.

Q: What should I do if I have questions about Form H1854 or the investigation process?
A: If you have questions about Form H1854 or the investigation process, you can contact the HHSC OIG for assistance.

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Form Details:

  • Released on May 1, 2023;
  • The latest edition provided by the Texas Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form H1854 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form H1854 Affidavit for Unauthorized Use of Electronic Benefit Transfer (Ebt) Benefits - Texas

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