TX HHS Form 1084. Certification for Warrants Lost. Destroyed. Stolen or Not Received

The TX HHS Form 1084, Certification for Warrants Lost, Destroyed, Stolen, or Not Received, is a crucial document that helps resolve issues related to Treasury warrants. This form is typically used in situations where a warrant has gone missing, been destroyed, stolen, or not received by the intended recipient. The form's primary purpose is to certify the status of the warrant and facilitate its cancellation or reissuance.

The certification process requires the owner or authorized representative to provide their mailing address and certify that the information furnished on the form is true and correct. It is essential to understand that falsifying this certificate can lead to criminal consequences. The form also outlines specific responsibilities, including returning any received warrants to the Texas Health and Human Services Commission (HHSC) Accounting Department.

To ensure a smooth process, it is crucial to follow the instructions provided on the form. Key features include the required information, such as the owner's mailing address, and the certification process itself. The form also highlights specific procedures, like returning any received warrants to HHSC. For questions or concerns, individuals can contact the Accounting Department at (512) 438-4222 or fax them at (512) 438-3061.

• The form is used in situations where a Treasury warrant has gone missing, been destroyed, stolen, or not received.
• The certification process requires truthful and accurate information.
• Falsifying the certificate can lead to criminal consequences.
• Returned warrants must be sent to HHSC Accounting Department.