TX HHS Form 1017. Burial or Cremation Assistance Registry Application

The TX HHS Form 1017, Burial or Cremation Assistance Registry Application, is a crucial document for organizations that provide financial or other assistance for the transportation, cremation, or burial of embryonic or fetal tissue remains. This form helps solve the problem of ensuring that organizations are willing and able to provide these services, which is essential for individuals who have experienced pregnancy loss.

The application requires organizations to indicate their type (funeral home, cemetery, or private nonprofit) and provide specific information about their mailing address, contact person, and contact person's title. Organizations must also certify that they are willing to provide financial or other assistance for the transportation, cremation, or burial of embryonic or fetal tissue remains under Health and Safety Code Section 697.005 and 25 Texas Administrative Code Section 138.8.

Key features of this form include the required information about the organization's type and contact details, as well as the certification that the organization is willing to provide assistance for embryonic or fetal tissue remains. The application also includes conditions, such as the acknowledgment that the information provided will be placed in a registry and released upon request, and follow-up actions, including the possibility of removal from the registry if the organization fails to provide the services for which it was placed.

• The form is typically used by funeral homes, cemeteries, and private nonprofit organizations that provide financial or other assistance for the transportation, cremation, or burial of embryonic or fetal tissue remains.
• Organizations must indicate their type (funeral home, cemetery, or private nonprofit) and provide specific information about their mailing address, contact person, and contact person's title.
• The application requires certification that the organization is willing to provide financial or other assistance for the transportation, cremation, or burial of embryonic or fetal tissue remains under Health and Safety Code Section 697.