TX HHS Form 3209. Chemical Dependency Treatment Facility Licensure Application Checklist for Change in Status Applicants
Form 3209 is an official checklist used by chemical dependency treatment facilities in Texas that are already licensed and need to request a change in their licensure status.
TX HHS Form 5541. Corrections Medication Aide Program General Statement Enrollment
Form 5541 serves as the enrollment application for the Corrections Medication Aide Program administered by the Texas Health and Human Services Commission (HHSC).
TX HHS Form 8577. Questionnaire for LTSS Waiver Program Interest Lists
Form 8577 is a questionnaire designed to gather information about individuals interested in Long-Term Services and Supports (LTSS) waiver programs.
TX HHS Form 3909. Interpreter Performance Test Application
Form 3909 is an application used by individuals seeking to take performance tests for interpreter certification through the Board for Evaluation of Interpreters (BEI) program, administered by the Texas Health and Human Services (HHS) Office for Deaf and Hard of Hearing Services (DHHS).
TX HHS Form 1730. Wage and Benefits Plan Employee Compensation
Form 1730 is a document used in Consumer Directed Services programs to outline and agree upon an employee's compensation, benefits, and withholdings. It ensures clear documentation of wage details, optional benefits, and financial agreements between the employee and employer.
TX HHS Form 3029. Application for Program Benefits
The Application for Program Benefits (Form 3029) is a comprehensive form designed to streamline access to essential health care services for low-income individuals and families in Texas.
TX HHS Form 3243. Affiliate Sex Offender Treatment Provider or Licensed Sex Offender Treatment Provider Name Change or Duplicate License Application
Form 3243 is an official application used by licensed professionals in the field of sex offender treatment in Texas to request a name change on their license or to obtain duplicate copies of their license and renewal cards.
TX HHS Form 0020. External Entity Information Security Risk Exception Request
Form 0020 serves as a formal mechanism for external entities contracted with Texas Health and Human Services (HHS) to request exceptions for security requirements they cannot meet.
TX HHS Form 3622. Denial of Application for CLASS
Form 3622 serves as an official notification from the Texas Health and Human Services Commission (HHSC) informing individuals that their application for enrollment in the Community Living Assistance and Support Services (CLASS) Program has been denied.
TX HHS Form 7271. Personnel Records Evaluation LCCH/RCCH
Form 7271, titled "Personnel Records Evaluation LCCH/RCCH," is a standardized checklist used by the State of Texas to assess the personnel files of individuals working in or associated with licensed and registered child care homes.