TX HHS Form H4861. Receipt of Notice

The TX HHS Form H4861, Receipt of Notice, is a crucial document that helps facilitate the administrative disqualification hearing process. This form is typically used in situations where an individual has received notice of their administrative disqualification hearing and must acknowledge receipt within 10 days.

This form requires the individual to sign and return it to the hearing office using the enclosed envelope. The key feature of this form is that it serves as a formal acknowledgment of receipt of the notice, ensuring that all parties are aware of the proceeding's status. Additionally, the form specifies the time-sensitive nature of the response, emphasizing the importance of prompt action.

Key points to note include:

• The form must be signed and returned within 10 days
• The enclosed envelope can be used for return
• The purpose is to acknowledge receipt of notice of administrative disqualification hearing