TX HHS Form 1085. State of Texas Emergency Assistance Registry

The State of Texas Emergency Assistance Registry (STEAR) Form 1085 is a vital tool for assisted living facilities and nursing homes to register with the Texas Health and Human Services (HHS). This form serves as a means for these facilities to provide essential contact information and demographic details.

The STEAR Form 1085 requires facilities to provide their name, street address, ZIP code, phone number, estimated daily average census, and evacuation plan status. Additionally, facilities are given the opportunity to submit any relevant comments or remarks. The form can be completed electronically using Adobe Reader or Acrobat and saved as a uniquely named PDF file.

The purpose of this registry is to ensure that HHS has accurate information about emergency assistance needs in Texas. By registering with STEAR, facilities can facilitate timely response and support during emergencies. Completed forms should be emailed to [email protected] for processing. This form is essential for facilities to comply with state regulations and demonstrate their commitment to emergency preparedness.