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.
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.
Form Details:
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.