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This form must be maintained as part of the NATCEP records. If the classroom portion of the training is completed online, the NATCEP must have a daily attendance sheet that shows how many hours each student completes each day.
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This form is used to collect initial intake information for applicants for Older Americans Act caregiver services.
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People in Texas interested in Kidney Health Care (KHC) program benefits must partner with their social worker where they can get care and treatment for their end-stage renal disease (ESRD). This form is used by the social worker to submit the application on behalf of the person.
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This form provides the required information per 26 Texas Administrative Code (TAC) minimum standards §744.501(7), §746.501(a)(7), and §747.501(5). Parents will review this policy upon enrolling their child. Employees, household members, and volunteers will review this policy at orientation.
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Operations use this form to record all required information when a child sustains an injury, at the onset of an illness or reportable incident.
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The following entities must complete and submit Form 1903, Child Support Certification, with their bid or application: sole proprietorships, partnerships, entities with shareholders, or entities with an owner who has an ownership interest of at least 25 percent of the business entity.
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Service providers may order any of the forms listed in this order form free of charge. The form must be emailed to HHS Printing Services for processing.
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This form is used to apply for specialized speech generating devices that provide you (the applicant) with access to a telephone network.
- Forms
The purpose of this form is to furnish a standardized format for HCSSAs to document their self-reported incident investigation summary, analysis and finding(s) in accordance with regulatory requirements. This form is for reporting abuse, neglect or exploitation by HCSSA employees as required by 40 Texas Administrative Code, §97.249.