TX HHS Form 1487. Designation of Representative

TX HHS Form 1487. Designation of Representative

The TX HHS Form 1487, Designation of Representative, is a crucial document that helps individuals designate a representative to act on their behalf for rehabilitation services. This form is typically used in situations where an individual requires assistance with applying for services or developing an Individual Rehabilitation Plan.

This form requires the applicant's name and signature, as well as the representative's printed name, telephone number, and authorization information. The designation is effective upon delivery to a counselor and continues until the applicant or representative informs the counselor in writing that it is no longer in effect. Key features of this form include the required information for both the applicant and representative, as well as the conditions under which the designation remains in effect.

The TX HHS Form 1487 is an essential tool for individuals seeking rehabilitation services through Texas Health and Human Services (HHS). By designating a representative, applicants can ensure that their needs are met and that they receive the necessary support throughout the process. Key points to note include:

  • The form is used to designate a representative for rehabilitation services.
  • The designation remains in effect until the applicant or representative informs the counselor in writing that it is no longer in effect.
  • The form requires the applicant's name and signature, as well as the representative's printed name, telephone number, and authorization information.
Geo: 
SourcePage: 
https://www.hhs.texas.gov/regulations/forms/1000-1999/form-1487-designation-representative