TX HHS Form 3907. Application for Specialized Telecommunications Assistance Program (STAP) Speech Generating Devices

The TX HHS Form 3907, Application for Specialized Telecommunications Assistance Program (STAP) Speech Generating Devices, is a crucial document that helps individuals with disabilities access the phone network. This form provides financial assistance to obtain telecommunications devices, enabling people with disabilities to communicate effectively.

This application is designed for individuals who have a disability that interferes with their ability to access the phone. The required information includes applicant details, such as name, date of birth, and contact information. Additionally, applicants must attest to being a Texas resident, at least 5 years old, and requiring a specialized telecommunications device due to a disability. The form also outlines responsibilities, including providing additional documentation if requested and consenting to verification calls after receiving the device.

The STAP application is typically filled out by individuals with disabilities or their parents/guardians. Key features of this form include required fields for applicant information, conditions for eligibility, and follow-up actions such as providing additional documentation and consent to verification calls. The form must be signed with an original signature, not a photocopy, facsimile, or stamped signature.

• This application is for individuals who have a disability that interferes with their ability to access the phone.
• Applicants must attest to being a Texas resident, at least 5 years old, and requiring a specialized telecommunications device due to a disability.
• The form requires original signatures and may request additional documentation for verification purposes.