TX HHS Form H1855. Affidavit for Nonreceipt or Destroyed Supplemental Nutrition Assistance Program (SNAP) Benefits

The TX HHS Form H1855, "Affidavit for Nonreceipt or Destroyed Supplemental Nutrition Assistance Program (SNAP) Benefits," is a crucial document that helps households resolve issues related to nonreceipt or destroyed SNAP benefits. This form is typically used by individuals who have not received their expected SNAP benefits or whose food purchased with those benefits has been destroyed due to a household disaster.

This affidavit requires the head of household or responsible member to provide specific information, including the date of discovery, reported date to HHSC, and details about the destroyed food. The form also includes sections for reporting priority benefits issued while TIERS was down and requesting replacement for destroyed food. By completing this form, households can request assistance from Texas Health and Human Services (HHS) in resolving their SNAP benefit issues.

Key features of this form include:

• The need to certify under penalty of perjury that the provided information is true and complete.
• The requirement to provide specific dates, including the date of discovery and reported date to HHSC.
• The option to request replacement for destroyed food.

By using this form, households can take steps to resolve their SNAP benefit issues and ensure they receive the assistance they need.