TX HHS Form 2841. CCR Small Employer-Based Child Care or Temporary Shelter Child Care Facility Application

The TX HHS Form 2841, CCR Small Employer-Based Child Care or Temporary Shelter Child Care Facility Application, is a crucial document for small employer-based child care or temporary shelter child care facilities seeking to operate in the state of Texas. This form helps solve the problem of obtaining a compliance certificate to ensure the facility meets necessary regulations and standards.

To use this form, applicants must provide required information about their operation, including the name of the entity, area code and phone numbers, hours of operation, days of the week in operation, and months of the year in operation. Additionally, applicants must identify their governing body type, providing details such as the name of the sole proprietor or partner, area code and phone number, and whether the address is a home residence.

Once completed, the application should be mailed to the nearest Child Care Regulation (CCR) office along with any additional requested materials. Key points to note include:

• The form is used by small employer-based child care or temporary shelter child care facilities seeking to operate in Texas.
• Applicants must provide required information about their operation and governing body type.
• The application should be mailed to the nearest CCR office along with any additional requested materials.