TX HHS Form 2419. Community Services Interest List (CSIL) Closure Communication

The TX HHS Form 2419, Community Services Interest List (CSIL) Closure Communication, is a crucial document for individuals who wish to close their interest in participating in community services. This form helps solve the problem of unwanted or unnecessary program participation by providing a clear and organized way to communicate closure intentions.

The form requires the individual's name, interest list ID, program(s) to be closed, date of closure, and one reason for closure from a list of options. The individual must also certify that they have entered the program and mark only one closure reason. This ensures accurate and efficient processing of closure requests. The form is typically filled out by individuals who no longer wish to participate in community services or have their enrollment processed through Money Follows the Person (MFP).

Key features of this form include the required information, such as individual's name and interest list ID, and the options for closure reasons. The form also highlights the importance of certification and accurate marking of a single reason for closure. By using this form, individuals can effectively communicate their intentions to close their interest in community services and ensure a smooth transition.

• The form is used by individuals who wish to close their interest in participating in community services.
• It requires the individual's name, interest list ID, program(s) to be closed, date of closure, and one reason for closure from a list of options.
• The form is typically filled out by individuals who no longer wish to participate in community services or have their enrollment processed through Money Follows the Person (MFP).