TX HHS Form 4116. Authorization for Expenditures

TX HHS Form 4116, "Authorization for Expenditures," is a crucial document used to authorize payments for goods or services. This form helps solve the problem of ensuring that expenditures are properly approved and comply with relevant regulations.

The form requires key information such as agency number, payee name and address, purchase order ID and contract number, and description of goods or services. The "Shaded Areas Not Used by HHSC" section indicates that these areas should not be completed by the Texas Health and Human Services Commission (HHSC). Common scenarios of use include authorizing payments for routine expenses, such as supplies or equipment, or for specific projects or grants.

The form also includes important sections for payee verification or certification, HHSC contact information, and distribution instructions. The "Approved" section requires the signature of both the payee and HHSC to confirm that the payment complies with relevant regulations, including the General Appropriations Act. This form should be used whenever an agency needs to authorize a payment for goods or services.