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 a crucial document that helps individuals understand their rights and responsibilities during an administrative disqualification hearing. This form is used in situations where intentional program violations have been committed, resulting in the potential disqualification from participating in the Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for Needy Families (TANF).

The form outlines key features such as the legal basis for disqualification, the rights of the household member, and the procedures for the hearing. Specifically, it explains that HHSC must prove by clear and convincing evidence that an intentional program violation has been committed, and that the household member has the right to present their own case or bring a representative. The form also highlights the importance of timely participation in the hearing process, as failure to appear may result in a default decision.

Key points to note include:

• The form is used for administrative disqualification hearings related to intentional program violations in SNAP and TANF programs.
• The household member has the right to present their own case or bring a representative, including a lawyer.
• A hearing does not prevent prosecution by state or federal government for intentional program violation in a civil or criminal court action.
• The length of disqualification varies depending on the type and number of offenses committed.