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 actions related to their licenses. This form helps solve the problem of updating an existing administrator license or requesting changes in status.

To use this form, complete Section 1 by providing required information such as your name, employer or operation, administrator's license number, mailing address, and email address. You must also select the type of action you are requesting from a list of options, including renewal, inactive status, change to active status, emeritus status, relinquishment of license, or change from provisional to full license (for CCAL only). The form also includes a privacy statement and requires the signature of the licensed administrator.

This form should be used when you need to request an action related to your child care administrator license or child-placing agency administrator license. You can submit the completed form, along with any supporting materials, via email or mail to the addresses provided. Please note that renewal fees and background check fees must be paid in full before the renewal process is complete. The TX HHS Form 3014 is an essential tool for administrators seeking to update their licenses or request changes in status.

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