TX HHS Form 1505. Request for Due-Process Hearing and/or Mediation

The Texas Health and Human Services (HHS) Form 1505, Request for Due-Process Hearing and/or Mediation, serves as a crucial tool for individuals seeking to contest determinations or decisions made by HHS staff. This form allows participants to request a hearing or mediation to address concerns related to their eligibility for vocational rehabilitation services, independent living services, individual plans, or the delivery of counseling or other services.

The purpose of this form is to provide a mechanism for individuals to exercise their right to due process and ensure that their concerns are heard and addressed. The form requires participants to provide detailed information about the determination or decision being contested, including the date it was made and the individual or entity responsible for making the decision.

This form is intended for use by individuals who have received a determination or decision from HHS staff and wish to request a hearing or mediation to resolve their concerns. The completed form should be mailed or delivered to the HHS Hearings Coordinator at 4800 N. Lamar Suite 300, Austin, Texas 78756-3178.