Form H4870 Client Complaint of Discrimination - Texas (English / Spanish)

Form H4870 Client Complaint of Discrimination - Texas (English / Spanish)

What Is Form H4870?

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.

FAQ

Q: What is Form H4870?A: Form H4870 is a client complaint form for reporting discrimination in Texas.

Q: Who can use Form H4870?A: Any client who believes they have experienced discrimination in Texas can use Form H4870.

Q: What is the purpose of Form H4870?A: The purpose of Form H4870 is to provide a way for clients to report discrimination they have experienced.

Q: Is Form H4870 available in both English and Spanish?A: Yes, Form H4870 is available in both English and Spanish.

Q: What should I do if I experience discrimination?A: If you experience discrimination, you should fill out Form H4870 and submit it to the Texas Department of State Health Services.

Q: Can I remain anonymous when submitting Form H4870?A: Yes, you can choose to remain anonymous when submitting Form H4870.

Q: What happens after I submit Form H4870?A: After you submit Form H4870, the Texas Department of State Health Services will review your complaint and take appropriate action.

Q: Is there a deadline for submitting Form H4870?A: There is no specific deadline for submitting Form H4870, but it is recommended to file your complaint as soon as possible.

Q: Can I get legal assistance when filling out Form H4870?A: Yes, you can seek legal assistance when filling out Form H4870 if needed.

ADVERTISEMENT

Form Details:

  • Released on December 1, 1997;
  • The latest edition provided by the Texas Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form H4870 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form H4870 Client Complaint of Discrimination - Texas (English / Spanish)

4.4 of 5 (20 votes)
  • Form H4870 Client Complaint of Discrimination - Texas (English/Spanish)

    1

  • Form H4870 Client Complaint of Discrimination - Texas (English/Spanish), Page 2

    2

  • Form H4870 Client Complaint of Discrimination - Texas (English / Spanish), Page 1
  • Form H4870 Client Complaint of Discrimination - Texas (English / Spanish), Page 2
Prev 1 2 Next
ADVERTISEMENT