Assignment Due Form For Benefits In Harris

State:
Multi-State
County:
Harris
Control #:
US-00422
Format:
Word; 
Rich Text
Instant download

Description

The Assignment Due Form for Benefits in Harris is a legal document used to transfer the debt or money due from an Assignor to an Assignee. This form is essential for facilitating a non-recourse assignment, meaning that the Assignee assumes the responsibility for collection without recourse to the Assignor after the assignment is made. Key features of the form include a section to describe the specific debt involved, the acknowledgment of value received, and clear signatures for both parties. Filling out the form requires the Assignor to provide their name, the Assignee's name, a description of the debt, and the date of execution. It is also important to note that the Assignor warrants the validity of the debt, ensuring legal protection for the Assignee. This form particularly serves a diverse audience, including attorneys, partners, owners, associates, paralegals, and legal assistants, by simplifying the process of debt assignment and ensuring compliance with legal standards. Legal professionals can use this form when dealing with collections, asset transfers, and financial agreements, making it a vital tool in legal practices.

Form popularity

FAQ

The Harris Health Financial Assistance Program (Gold Card) is a Texas public health benefit provided by the Harris Health System that provides financial assistance for medical care for Harris County residents.

Harris Health Financial Assistance Program (Gold Card) Texas I.D. or drivers license stating the person lives in Harris County. Social Security Card. Citizenship(Passport or Birth Certificate) or Green Card. Proof of income (1 months check stubs) Any bills or bank statement (within 60 days) Income tax (if necessary)

The FPL varies based on household size: one person ($19,320), two people ($26,130), three people ($32,940), four people ($39,750), or five people ($46,560). If your household income exceeds 150% FPL, you can still receive medical treatment through Harris Health System but won't qualify for discounted services.

How do I renew my Harris County Gold Card? Gold Card Renewal Application To reapply you will need to complete a Harris Health application. This application is the exact same document that you completed when you first applied for Gold Card coverage.

Anyone is eligible regardless of age, income, or immigration status. You must be a Harris County resident.

What is the Harris Health Financial Assistance Program? The Harris Health Financial Assistance Program is a program that is available to Harris County residents whose gross family income, as it relates to family size, falls at or below at or below 150% of the Federal Poverty Level.

For questions call 713-566-6509 (Monday – Friday, 8am – 4pm) to speak to the Eligibility Call Center team member for any questions regarding the Harris Health Financial Assistance Program.

Trusted and secure by over 3 million people of the world’s leading companies

Assignment Due Form For Benefits In Harris