TX HHS Form H1846. Facility Authorized Representative Interview

The TX HHS Form H1846, Facility Authorized Representative Interview, is a crucial document that helps authorized representatives of facilities authorized to participate in the Supplemental Nutrition Assistance Program (SNAP) manage their responsibilities. This form is typically used by authorized representatives who need to acknowledge their understanding of the program's rules and regulations.

The form consists of three parts: Part A - Facility Information, which requires the facility name, address, mailing address, phone number, type of program, and number of residents; Part B - Initial Authorized Representative Statement, where the authorized representative acknowledges their responsibilities and understands that they cannot withdraw SNAP benefits from an individual who is no longer a resident in the facility; and Part C - Acknowledgement of Receipt Statement, which requires the authorized representative to acknowledge receipt of specific forms related to the program.

Key features of this form include the required information for facilities and authorized representatives, as well as the conditions and responsibilities outlined in Part B. By filling out this form, authorized representatives can ensure they are properly informed about their roles and obligations in managing SNAP benefits for residents. Here are some key points to note:

• The form is used by authorized representatives of facilities participating in the Supplemental Nutrition Assistance Program (SNAP).
• It requires facility information, including name, address, mailing address, phone number, type of program, and number of residents.
• The authorized representative must acknowledge their understanding of their responsibilities and the rules governing SNAP benefits withdrawal.