TX HHS Form H4807. Action Taken on Hearing Decision

The TX H4807, "Action Taken on Hearing Decision", is a form used to document the actions taken by a worker or agency designee following a fair hearing decision. This form helps resolve issues related to delayed action on hearing decisions, ensuring that benefits are issued in a timely and accurate manner.

This form requires completion of Section A, which includes the Appellant Case/Client No., as well as Section B, where the worker or agency designee indicates whether the action on the fair hearing decision was delayed. If delayed, the form prompts for dates and delay codes to be entered. The form also includes sections for Benefit Issuance, Recovery, Recoupment, and Restitution, which are specific to certain programs such as SNAP and TANF.

The TX H4807 should be used when a fair hearing decision requires action to be taken by a worker or agency designee, and the action is delayed. The form helps ensure that all necessary information is documented, including dates and delay codes, and provides a clear record of the actions taken.