TX HHS Form 2032. Escheatment of Consumer Funds

The TX HHS Form 2032, Escheatment of Consumer Funds, is a crucial document that helps resolve issues related to unclaimed consumer funds in Texas. This form is typically used by healthcare providers, such as nursing homes, adult foster care facilities, and assisted living or residential care centers, when they need to escheat (turn over) consumer funds to the state.

The form requires essential information from the provider, including their type, tax number, mailing address, contact details, and a certification that the money being escheated is not the provider's property. The provider must also certify that they have made a bona fide effort to locate the resident or their guardian/legally authorized representative if the resident has passed away or been discharged.

To complete the form, providers should follow these key steps:

• Fill out Section 1 with their provider information;
• Indicate the reason for escheatment in Section 2;
• Provide resident information in Section 3;
• Certify that the funds are not the provider's property and that they have made a bona fide effort to locate the resident or their guardian/legally authorized representative.

Once completed, the form should be mailed to Texas Health and Human Services at the specified address with payment made payable to "Texas Health and Human Services."