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 issued by the Texas Health and Human Services (HHS) to certify the status of Treasury warrants. This form serves as a declaration of the warrant's fate, ensuring its authenticity and accuracy.

The purpose of this certification is to provide transparency and accountability in the handling of Treasury warrants. The form requires the owner or authorized representative to verify the warrant's condition, stating whether it was lost, destroyed, stolen, or not received. This information is essential for the Texas HHS Commission (HHSC) to process stop payments and cancellations accordingly.

This certification form is intended for use by individuals who have encountered issues with their Treasury warrants. By completing this form and returning it to the HHSC Accounting Department, individuals can ensure that any outstanding warrants are properly handled and cancelled. The form also provides instructions on how to contact the HHSC Accounting department for questions or concerns.