This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form H0404?
A: Form H0404 is a privacy complaint form in Texas.
Q: Who can use Form H0404?
A: Any individual who wants to file a privacy complaint in Texas can use Form H0404.
Q: What is the purpose of Form H0404?
A: The purpose of Form H0404 is to allow individuals to submit complaints regarding the unauthorized disclosure of their private information.
Q: How do I fill out Form H0404?
A: To fill out Form H0404, you will need to provide your personal information, details about the privacy violation, and any supporting documentation.
Q: What happens after I submit Form H0404?
A: After you submit Form H0404, the Texas Department of Health and Human Services will review your complaint and take appropriate action to address the privacy violation.
Q: Is there a deadline for submitting Form H0404?
A: There is no specific deadline for submitting Form H0404, but it is recommended to file the complaint as soon as possible after discovering the privacy violation.
Form Details:
Download a fillable version of Form H0404 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.