TX HHS Form H4856. Request for Another Appointment for Administrative Disqualification Hearing

The TX HHS Form H4856, Request for Another Appointment for Administrative Disqualification Hearing, is a crucial document that helps individuals reschedule their administrative disqualification hearing due to unforeseen circumstances. This form is typically used in situations where the original hearing date no longer suits the individual's needs, and they require an alternative appointment.

The form requires the individual to provide a valid reason for requesting another appointment, as well as their current address and contact information. The individual must also sign the form, either personally or through a representative if applicable. This document is essential in ensuring that individuals have a fair opportunity to participate in the administrative disqualification hearing process.

Key features of this form include the requirement for a valid reason for requesting another appointment, as well as the need for current contact information. By using Form H4856, individuals can request an alternative appointment date and ensure their right to participate in the administrative disqualification hearing process is upheld. For more information on your rights and responsibilities, please contact the HHSC Hearing Officer whose name appears on this letter.

• Requesting another appointment for an administrative disqualification hearing due to unforeseen circumstances
• Providing a valid reason for requesting another appointment
• Supplying current address and contact information
• Contacting the HHSC Hearing Officer for more information on your rights and responsibilities