TX HHS Form 3910. Annual Certificate Renewal

TX HHS Form 3910. Annual Certificate Renewal

The TX HHS Form 3910, Annual Certificate Renewal, is a crucial document for individuals who have obtained certification from the Office for Deaf and Hard of Hearing Services (DHHS). This form helps solve the problem of maintaining certification status by providing an annual renewal process. Typically, certified professionals in Texas fill out this form to ensure their credentials remain valid.

The form requires certificate holders to provide personal information, including contact details and conviction history. Key features include the option to publish information in HHS's BEI registry, as well as various fee structures for late renewals. Certificate holders must also answer a qualifying question regarding disciplinary actions or certification suspensions. To complete the renewal process, individuals must enclose a check or money order payable to HHS DHHS and mail the form along with any required prerequisite certificates.

Key points to note include:

  • The form is used annually by certified professionals in Texas to maintain their certification status.
  • Certificate holders must provide personal information, including contact details and conviction history.
  • Late renewal fees apply if the form is submitted after the expiration date.
  • A prerequisite certificate may be required for certain certifications.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/3000-3999/form-3910-annual-certificate-renewal