TX HHS Form 3922. Multiple-Certificate Five-Year Recertification

The TX HHS Form 3922, Multiple-Certificate Five-Year Recertification, is a crucial document for individuals seeking to recertify their interpreter certification or license. This form helps solve the problem of maintaining certification status by providing a standardized process for renewal.

This form requires certificate holders to provide essential information, including name, birth date, BEI certification number, and contact details. Additionally, it asks about criminal records, disciplinary actions, and suspension/revocation of certification or license. The form also outlines the recertification fee structure, with varying fees depending on the timing of payment. Certificate holders must complete and sign the form, attach required documentation (if applicable), and submit it along with the fee to HHS DHHS.

Key features of this form include the requirement for certificate holders to disclose their criminal records and any disciplinary actions taken against them. The form also outlines specific procedures for recertification, including payment options and submission instructions. By using this form, certificate holders can ensure compliance with certification requirements and maintain their professional status.

• This form is used by individuals seeking to recertify their interpreter certification or license.
• The form requires disclosure of criminal records and disciplinary actions taken against the certificate holder.
• The form outlines specific procedures for recertification, including payment options and submission instructions.