Blank Texas PDF Form

In the realm of home and community support services in Texas, the Criminal History Check Form plays a pivotal role in ensuring the safety and integrity of care provided to vulnerable populations. This essential document, administered by the Texas Department of Aging and Disability Services, gathers crucial information from agency owners, administrators, and chief financial officers. Each applicant is required to provide personal details, including names, dates of birth, and social security numbers, along with any aliases they may have used. The form also mandates a certification statement, where individuals affirm the truthfulness of their submissions, highlighting the importance of transparency in the licensing process. Furthermore, this form is not merely a bureaucratic hurdle; it is a vital tool for compliance with the Texas Health and Safety Code, specifically Chapter 142, which governs the licensure of home and community support services. By submitting this form, applicants contribute to a framework designed to protect the well-being of clients and maintain the standards of care expected in the industry. It is essential to note that this form must accompany initial applications, renewals, and any management changes, ensuring that all pertinent information is up to date and accurate. The process is supported by the Texas Department of Public Safety, which plays a crucial role in verifying the criminal history of applicants, thus safeguarding the community at large.