TX HHS Form 3051. Statement of Self-Employment Income

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

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

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

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

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

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

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

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.

TX HHS Form 5150. Family Service Plan

TX HHS Form 5150. Family Service Plan

This document provides a structured support plan for children who are blind or visually impaired and their families.

TX HHS Form 8654. State Supported Living Center (SSLC) Admission Application

TX HHS Form 8654. State Supported Living Center (SSLC) Admission Application

Form 8654 (April 2025) is the official application used to request admission to a Texas State Supported Living Center (SSLC).