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Get Form H1855
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How to fill out the Form H1855 online
Form H1855 is an affidavit used to report the non-receipt or destruction of food stamp benefits. Completing this form online helps ensure that your request for replacement benefits is processed efficiently and accurately.
Follow the steps to fill out the Form H1855 online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the certifying office's information in the designated field. This should include the office responsible for your case.
- Fill in the case name associated with your food stamp benefits in the provided field.
- Input your food stamp case number, which is crucial for the processing of your affidavit.
- Provide the date you are reporting this issue in the section labeled 'Date Reported'.
- In the 'Date Received' section, enter the date you received your food stamp benefits.
- Complete the client address section by providing your full address, including street, city, state, and ZIP code.
- State the month for which you have not received food stamp benefits in the appropriate field.
- Indicate the year that corresponds to the month you are referencing.
- If applicable, fill in your old address where benefits may have been sent previously.
- Specify the benefit month and year for which you are requesting replacement benefits.
- List the allotment amount you were supposed to receive for the specified month.
- Include the original issuance number that corresponds to your food stamp benefits.
- Enter the original issue date of your food stamp benefits.
- If any food was destroyed due to a household disaster, indicate the date of this disaster.
- Provide an estimate of the amount of food destroyed, ensuring to specify the currency.
- Ensure your affidavit is signed by the head of the household or a responsible family member.
- Lastly, enter the date of signature in the designated area.
- After filling out the form, you can save your changes, download it for your records, print it, or share it as needed.
Complete your Form H1855 online to request your food stamp benefits quickly.
If you need a replacement food stamp benefits form in Texas, you can request this through the Texas Health and Human Services website or local offices. Typically, you will need to provide some personal information and identification. Alternatively, the H1855 form is often available through uslegalforms, where you can complete your request effectively. This process will help streamline your access to the benefits you need.
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