TX HHS Form 2357. DFPS Records Check

The TX HHS Form 2357, DFPS Records Check, is a crucial document used to verify the status of an individual as a validated perpetrator of abuse, neglect, or exploitation against an elderly or disabled person. This form helps solve the problem of ensuring that individuals who have been involved in such incidents are properly identified and their potential impact on adult foster care providers assessed.

The form requires applicants to provide personal information, including name, date of birth, gender, and social security number. It also asks for previous addresses used and area code and telephone numbers. The applicant must understand that their name will be submitted to the Texas Department of Family and Protective Services (DFPS) to determine whether they have been named a validated perpetrator. This information is essential in determining an individual's suitability as an HHSC adult foster care provider.

The form includes two possible outcomes: "No Match" or "Match." If there is no match, it means the applicant's name did not create a match in the DFPS database as a validated perpetrator. However, this does not preclude the possibility that the person is listed on the agency database under another name. If there is a match, information regarding abuse, neglect, or exploitation must be provided, including type of maltreatment, date incident occurred, and relationship of perpetrator to victim.

• The form is used to verify an individual's status as a validated perpetrator of abuse, neglect, or exploitation against an elderly or disabled person.
• The applicant must provide personal information, including name, date of birth, gender, and social security number.
• The form helps ensure that individuals who have been involved in such incidents are properly identified and their potential impact on adult foster care providers assessed.