TX HHS Form 8575. Notification of Local Authority (LA) Reassignment

The TX HHS Form 8575, Notification of Local Authority (LA) Reassignment, is a crucial document that facilitates the transfer of intellectual and developmental disability services from one local authority to another. This form helps resolve situations where an individual's needs require a change in their service provider or location.

This notification form requires key information such as the current and new local authorities involved, the program provider, and the date of move. It also includes fields for the contact details of the service coordinator, area code, and phone number. The form serves as a formal record of the reassignment process, ensuring that all necessary parties are informed and aware of the changes.

When completing this form, it is essential to provide accurate information about the current and new local authorities, including their names, component codes, and local case numbers. This ensures seamless communication and coordination between the involved parties. By using Form 8575, stakeholders can efficiently manage reassignments and maintain effective service delivery.

• This form is used in situations where an individual's intellectual or developmental disability services need to be transferred from one local authority to another.
• The form requires accurate information about the current and new local authorities involved.