Form 3925, Special Needs Funds Request for Communication Access

Effective Date
3925.pdf (1.13 MB)



Updated: 05/2017



The form is used as an application for funding communication access services. The funds are specifically for special events. DHHS staff use the information collected on this form to evaluate the need for Communication Access Real-time Translation (CART) or interpreting services.

Copies and Distribution

No copies.

The original is submitted to DHHS for review at the following address:

Attention: Special Needs Funds
PO Box 12904
Austin, Texas 78711


DHHS retains the application until the end of the fiscal year the application was submitted, and then for three more fiscal years; then the form is destroyed.

Special Instructions

The application should be submitted at least 30 days before the event. The application is evaulated based on criteria outlined in DHHS Services Manual, Chapter 7: Special Needs Funds, 7.3 Selection Criteria.