TX HHS Form 2911. CCR Governing Body or Director Designation

The TX HHS Form 2911, CCR Governing Body or Director Designation, is a crucial document that helps organizations designate a person to speak and act on their behalf. This form is typically used in situations where an organization needs to appoint a representative to communicate with the Texas Health and Human Services (HHS) Child Care Regulation (CCR) department.

This form requires the submission of specific information, including the name and contact details of the governing body or organization, as well as the designee's name and phone number. The form also asks whether the address is the person's home residence and whether the phone number is a home phone number. Additionally, the form requests the name and contact details of the Chief Executive Officer (CEO) or Head of Governing Body.

To complete this form, users must fill out Section 1 to designate a designee, Section 2 to designate a director or interim director, or both if necessary. The Certification and Signature section must be completed to verify the information provided in Sections 1 and 2. Key points to note include:

• The form is used to designate a person to speak and act on behalf of an organization.
• Section 1 requires the submission of designee's name, phone number, and address.
• Section 2 requires the submission of director or interim director's name.
• The Certification and Signature section must be completed to verify information.