Get Dads Or Hhsc Form - The Texas Department Of Aging And ... - Dads State Tx

Filling out the DADS Or HHSC Form is an essential process for ensuring the smooth transition of ownership for facilities managed under the Texas Department of Aging and Disability Services. This guide provides step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to complete the DADS Or HHSC Form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the legal entity responsible for the operation of the facility as it appears on the existing contract. Input the contract number and the facility name as it appears on the existing contract.
3. Indicate whether the operational functions of the facility have already been transferred or will be transferred. Check the corresponding box.
4. Provide the name of the new legal entity that will manage the facility and ensure this is how it will appear on both the contract and the Application for State License.
5. State the effective date of the ownership change. If this date has already occurred, select 'WAS'; if it will occur in the future, select 'WILL BE' and specify the date.
6. Fill in the official recognition date by DADS if applicable; this section is for DADS use only.
7. Complete the outgoing owner's information, including their name, address, and telephone number. This will be used for all correspondence related to the facility.
8. Ensure that both the outgoing and incoming owners sign the document, and provide their names and titles. These signatures must be consistent with the individuals listed in Forms 2031 or 2031-G.
9. Once completed, ensure that the form is notarized as required.
10. Mail the original and one copy of the form to the provided DADS address, or for overnight shipments, use the specified address for urgent delivery.

Complete your documents online today to ensure a smooth ownership transition process.