TX HHS Form 3017. Child Care Regulation Request for Background Checks for an Administrator's License

The TX HHS Form 3017 is a crucial document for individuals seeking to obtain or renew an administrator's license in the state of Texas. This form serves as a request for background checks, which are mandatory for licensing purposes. The form is typically completed by administrators applying for or renewing their licenses.

To complete this form, applicants must provide personal information, including their name(s), physical address, contact details, and date of birth. Additionally, they must list any other names used in the past, including married and maiden names, to ensure accurate results from the background checks. The form also requires information about the applicant's role at the operation, such as administrator or backup administrator.

The TX HHS Form 3017 outlines the necessary steps for obtaining a fingerprint-based criminal history check, Central Registry check, and other applicable background checks through the Texas Health and Human Services Commission (HHSC). Applicants must also pay a $2 background check fee. Note that if an applicant has a fingerprint-based criminal history check completed on or after June 1, 2015, they are not required to complete a new check.

• Request for background checks for administrator's license
• Mandatory for licensing purposes
• Typically completed by administrators applying for or renewing licenses
• Pays $2 background check fee
• New fingerprint-based criminal history check not required if completed on or after June 1, 2015