TX HHS Form 1129. Fire Suppression Authority Notification

The Texas Health and Human Services (HHS) Form 1129, Fire Suppression Authority Notification, serves as a notification mechanism for assisted living facilities to inform the local fire suppression authority of changes in evacuation capabilities. This form is completed when a resident is deemed inappropriately placed in an assisted living facility, requiring a waiver of evacuation requirements outlined in the Licensing Standards for Assisted Living Facilities.

The purpose of this form is to ensure that the fire suppression authority is aware of any changes in evacuation capabilities and can plan accordingly. The form requires the facility to notify the local fire suppression authority and acknowledge receipt of the notification, without indicating approval or support for the resident's continued stay. This process is governed by House Bill 2109, 81st Legislature, Regular Session.

This document is intended for use by assisted living facilities in Texas, as well as the local fire suppression authorities responsible for responding to fires within their jurisdiction. The issuing agency, Texas Health and Human Services (HHS), has developed this form to facilitate communication between these entities and ensure public safety.