TX HHS Form H1899. Unauthorized Use Replacement Benefit Eligibility Notice

The Unauthorized Use Replacement Benefit Eligibility Notice (Form H1899) is a crucial document that helps resolve issues related to unauthorized use of benefits. This form is typically filled out by individuals or households who have experienced unauthorized use of their benefits and are seeking replacement benefits.

This notice provides key information about the transactions eligible for replacement, including the date(s) and amount(s) used without authorization. It also outlines the conditions under which these transactions are not eligible for replacement, such as when they were reported more than 30 days from the date of discovery or when requested verification was not provided timely. The notice emphasizes the importance of meeting specific requirements and responsibilities to ensure eligibility for replacement benefits.

The Unauthorized Use Replacement Benefit Eligibility Notice is an essential tool for individuals seeking to resolve issues related to unauthorized use of their benefits. Key points to note include:

• The transactions must be reported within 30 days from the date of discovery
• A completed affidavit Form 1854 must be returned timely
• Requested verification(s) must be provided timely
• The unauthorized use cannot be validated
• The transaction(s) is outside the allowed scope of unauthorized use replacement benefit criteria
• The household has already received unauthorized use replacement benefits twice within a federal fiscal year