TX HHS Form 3014. Administrator License Renewal or Status Change

TX HHS Form 3014. Administrator License  Renewal or Status Change

The TX HHS Form 3014, Administrator License Renewal or Status Change, is a crucial document for child care administrators and child-placing agency administrators to request changes related to their licenses. This form helps solve the problem of updating license status or renewing an existing license, ensuring compliance with regulatory requirements.

To complete this form, users must provide required information such as their name, employer or operation, administrator's license number, mailing address, and email address. The type of action being requested is also crucial, including options for renewal, inactive status, change from provisional to full license (CCAL only), emergitus status, retired status, relinquishing a license, or requesting an active status.

After completing the form, users can submit it along with any supporting materials via email or mail. It is essential to note that renewal fees and background check fees must be accompanied by an invoice and mailed to the address on the invoice. The Texas Health and Human Services Commission Administrator Licensing office encourages online payment of fees using invoice links emailed to users.

  • This form is used for child care administrators and child-placing agency administrators to request changes related to their licenses.
  • Required information includes name, employer or operation, administrator's license number, mailing address, and email address.
  • The type of action being requested must be specified, including options for renewal, inactive status, change from provisional to full license (CCAL only), emergitus status, retired status, relinquishing a license, or requesting an active status.
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