TX HHS Form 2124. Supported Home Living or Community Support Transportation Log

The Supported Home Living or Community Support Transportation Log (TX HHS Form 2124) is a crucial document for recording transportation services provided by Texas Health and Human Services (HHS). This form serves as a tool for service providers to accurately track and report the transportation needs of individuals receiving supported home living or community support services.

The log provides a detailed record of each transportation service, including the name of the person being served, the method used (such as wheelchair-accessible vehicle or public transportation), and the duration of the trip. The form also requires the signature of the service provider and includes space for noting the destination, passengers, and time of departure and arrival.

The TX HHS Form 2124 is designed to help service providers efficiently document their transportation services while ensuring compliance with reporting requirements. By using this log, providers can easily calculate the total transportation time and number of passengers served, as well as track any necessary adjustments or modifications to their services.