TX HHS Form H4855. Statement of Household Member's Rights in Administrative Disqualification Hearing

The TX HHS Form H4855, Statement of Household Member's Rights in Administrative Disqualification Hearing, is used to inform individuals of their rights during an administrative disqualification hearing for intentional program violations under the Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for Needy Families (TANF). This form outlines the procedures and penalties associated with such hearings.

The key features of this form include the explanation of the legal basis for disqualification, the rights of the household member, and the procedures for the hearing. The form also mentions the required evidence to prove a violation, the penalties for committing an intentional program violation, and the right to present one's own case or bring a representative.

This form should be used in situations where an individual is suspected of committing an intentional program violation under SNAP or TANF, and a hearing is necessary to determine if a disqualification is warranted. The form provides important information about the rights and procedures involved in such hearings, ensuring that individuals are aware of their options and responsibilities throughout the process.