TX HHS Form 7259. Personnel Records Evaluation Child Care Centers
Form 7259, updated in January 2019, is used by Texas Child Care Licensing (CCL) inspectors to evaluate personnel records during onsite inspections at licensed child care centers.
TX HHS Form H1245. Statement of Intent to Return to Home
The “Statement of Intent to Return Home” (Form H1245) is used in Texas Medicaid cases to clarify whether a person temporarily living away from their residence still considers that property their primary home.
TX HHS Form 3051. Statement of Self-Employment Income
Form 3051 is used by individuals who are self-employed and applying for health care assistance under the Primary Health Care Services Program, the Title V Fee-for-Service Program, or the Epilepsy Program.
Form VTR-66. Application for Timed Temporary Permits
The Timed Temporary Permit is a short-term authorization that allows a vehicle to operate legally on public roads when it is not currently registered in Texas or when its out-of-state registration does not qualify for reciprocity.
OCFS-6002. Qualifications-Child Day Care Programs
The OCFS-6002 “Qualifications – Child Day Care Programs” form is used in New York State child care programs to document the education, training, and experience of individuals applying for or holding caregiving roles.
LDSS-4438. Emergency Plan Child Day Care Centers, School Age Child Care Programs, and Legally Exempt Group Child Care Programs
This document is an expert, practical guide to the New York State Emergency Plan (LDSS-4438, Rev. 06/2020) used by child day care centers, school-age child care programs, and legally exempt group child care programs.
OCFS-6009. Visitor Log
The OCFS-6009 Visitor Log is a required document for all licensed and registered child day care programs in New York State. Its purpose is simple but critically important: to record every non-routine visitor who enters the premises.
TX HHS Form 7255. Medication Authorization
Form 7255 is a standardized document used in Texas child-care operations to record the administration of medication to children.
TX HHS Form 2960. CCR Application for a License to Operate a Residential Child Care Facility
Form 2960 is the official application required to obtain a license to operate a Residential Child Care Facility (RCCF) or Child-Placing Agency in Texas.
TX HHS Form 4807-D. Action Taken on Hearing Decision
Form 4807-D is used by Texas Health and Human Services (HHS) staff to document how a local office handled a fair hearing decision.