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Form 4108 direct deposit authorization

Texas hhsc form 4108 pna-2025

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Form 4108 is a Direct Deposit Authorization form used to set up, change, or cancel direct deposit instructions for payments from the State of Texas. It requires specific information about the payee and their financial institution, including Social Security numbers, account details, and contact information. The form must be completed in blue or black ink, with a pre-printed voided check or bank letter attached for new setups or changes. It includes sections for authorization and verification of international payments.

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Is the HHS a state or federal department?

HHS is the Cabinet-level department of the Federal executive branch most involved with the Nations human concerns. In one way or another, it touches the lives of more Americans than any other Federal agency.

What HHS region is Texas?

HHS Region 6 | HHS.gov.

What is form 1024 for Texas Health and Human Services?

Purpose. Use Form 1024: to document the items or services that result in an Individual Service Plan (ISP) or Individual Plan of Care (IPC) exceeding the assigned cost limit; to establish the medical need and rationale for these items or services; and.

Is Texas HHS or HHSC?

Agency Name If the audience is providers, use Texas Health and Human Services Commission on first reference, then HHSC on following references. To avoid confusion with the federal Health and Human Services agency, do not use HHS by itself without first spelling out Texas Health and Human Services.

Who runs Texas Health and Human Services?

Kate Hendrix is the chief of staff for Texas Health and Human Services Commission Executive Commissioner Cecile Erwin Young. She supports and advises the Executive Commissioner and oversees the day-to-day operations of the commissioners office.

4108 direct deposit authorization

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What two agencies make up Texas Health and Human Services Commission?

Texas Health and Human Services now consists of 2 agencies: the Texas Health and Human Services Commission and the Texas Department of State Health Services (DSHS).