TX HHS Form 2032. Escheatment of Consumer Funds

The Texas Health and Human Services (HHS) Form 2032, Escheatment of Consumer Funds, is a crucial document used to escheat consumer funds in the state of Texas. This form serves as a vital tool for providers to report and settle outstanding balances related to deceased or discharged residents.

The purpose of this form is to facilitate the transfer of consumer funds from providers to the Texas HHS Escheatment program. The form requires providers to provide detailed information about the resident, including their name, date of birth, social security number, and last known forwarding address. Additionally, providers must certify that the reported funds belong to the resident and not to themselves.

This form is intended for use by healthcare providers, nursing homes, adult foster care facilities, assisted living facilities, and residential care facilities registered with the Texas HHS. The issuing agency, Texas HHS, provides clear instructions on how to complete the form, including mailing information and payment details. By completing Form 2032, providers can ensure compliance with state regulations and facilitate the timely transfer of consumer funds.