Get Dads Form 3254 2020-2025

Filling out the Dads Form 3254 is an essential step for contractors seeking to work with the Texas Department of Aging and Disability Services. This guide provides clear instructions on how to complete the form online, ensuring that you understand each section and its requirements.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Enter the legal entity name (contractor) in the designated field. This should be the official name under which your organization operates.
3. Input your Taxpayer ID number, which may be your Employer Identification Number (EIN) or Social Security Number (SSN), in the appropriate section.
4. If applicable, provide the Doing Business As (d/b/a) name. This is the name under which you conduct business, if different from your legal entity name.
5. Include your National Provider Identifier (NPI) or Atypical Provider Identifier (API) in the specified field.
6. Review the certifications listed in sections A through M carefully. Ensure that you can confirm each statement accurately.
7. Sign the Contractor Certification as the duly authorized representative of the contractor, confirming that all statements are accurate.
8. Provide the typed or printed name and title of the authorized representative in the corresponding fields.
9. Fill in the date of signing, along with the necessary notary public information, including the signature and printed name of the notary.
10. Once you have completed the form, save your changes, and download or print the document for your records or to share as needed.

Complete the Dads Form 3254 online today for a smooth filing experience.