Texas

Form 1046 is a standardized document used by Local Intellectual and Developmental Disability Authorities (LIDDAs) in Texas to request a Home and Community-based Services (HCS) Adult Nursing Facility (NF) Transition Slot for an eligible individual. The form is an essential part of the transition process for adults with intellectual or developmental disabilities who currently reside in a nursing facility but wish to move to a community-based setting. It provides HHSC with the key information required to determine eligibility and allocate available transition slots.

Form 3040 is an official corrective action document used within the Home and Community-Based Services Adult Mental Health (HCBS-AMH) program in Texas. The form is used by providers to formally respond to review findings issued by oversight authorities and to document a clear, structured plan for correcting identified issues and preventing their recurrence.

This form serves as written evidence that a provider understands the findings, takes responsibility for remediation, and has established concrete steps to achieve and maintain compliance.

The TX HHS Form 2961, Request to Accept Children from Law Enforcement, is a crucial document for child placing agencies seeking to receive emergency admissions from law enforcement. This form helps solve the problem of ensuring that these agencies are properly verified to accept children in emergency situations.

The TX HHS Form 2963, "Admission of a Child from a Law Enforcement Officer," is a crucial document for recording essential information about children who are admitted to emergency shelters or child-placing agencies. This form helps solve the problem of ensuring that vital details about the child and their family are accurately documented in situations where law enforcement officers bring children into custody.

The TX HHS Form 2970, Notification of Safe Sleeping Deficiency, is a crucial document that helps ensure the safety and well-being of children in various care settings. This form is used to notify parents or guardians of safe sleeping minimum standard deficiencies identified during inspections by Child Care Regulation.

The TX HHS Form 2971, Child Care Regulation Request for Background Check, is a crucial document that helps solve the problem of ensuring background checks are conducted for individuals working in child care settings. This form is typically used by licensed child care centers, school-age programs, before- or after-school programs, and registered home-based child care providers to request background checks required by 26 Texas Administrative Code (TAC) Chapter 745 Subchapter F.

The TX HHS Form 2974, Request for Risk Evaluation Based on Past Criminal History or Central Registry Findings, is a crucial document that helps identify potential risks associated with an individual's past criminal history or central registry findings. This form is typically used in situations where an applicant is seeking employment or volunteering in child care operations and requires a risk evaluation to ensure the safety of children.

The TX HHS Form 2974C, CPS Request for Risk Evaluation Based on Past Criminal History or Central Registry Findings for Foster/Adoptive Homes, helps caseworkers evaluate the risk posed by individuals with past criminal history or central registry findings. This form is used to request a risk evaluation from the Centralized Background Check Unit (CBCU) when placing children in foster or adoptive homes.

Form 2982, titled Personal History Statement, is a required document used by Texas Child Care Regulation (CCR) as part of the licensing process for child care and certain residential care operations. This form helps the state evaluate whether individuals responsible for operating or managing a child care program meet legal, professional, and safety standards.

This affidavit is a mandatory disclosure form required from anyone seeking temporary or permanent employment in a licensed child care facility, child-placing agency, or registered child-care home. Because these roles involve direct contact with children, the state requires applicants to formally confirm—under penalty of perjury—that they have no history of criminal conduct or child-related offenses that would compromise child safety.