TX HHS Form 2357. DFPS Records Check

The TX HHS Form 2357, "DFPS Records Check", is a crucial document used to verify an individual's status as a validated perpetrator of abuse, neglect, or exploitation against an elderly or disabled person. This form helps determine whether the applicant has been named in a Texas Department of Family and Protective Services (DFPS) investigation, which could impact their ability to contract as an HHSC adult foster care provider.

This form requires essential information from the applicant, including name, date of birth, gender, social security number, current and previous addresses, and contact details. The applicant must also provide a signature and date to indicate their understanding that their name will be submitted to DFPS for verification. The form consists of two main sections: one for the applicant's information and another for the results of the records check.

The form is used when an individual needs to verify their status as a validated perpetrator in order to contract with HHSC as an adult foster care provider. It is essential that the applicant completes, signs, and dates the form accurately and thoroughly, as any errors or omissions could impact the results of the records check. The TX HHS Form 2357, "DFPS Records Check", is a critical tool for ensuring compliance with DFPS regulations and protecting vulnerable individuals in Texas.