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

Filling out the DADS Or HHSC Form, known as Form 5871, is an essential step for disclosing ownership and control information required by the Texas Department of Aging and Disability Services. This guide provides detailed, step-by-step instructions to help users successfully complete the form online.

Follow the steps to fill out the DADS Or HHSC Form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by completing Section 1, which requires the disclosing entity information. Provide the legal name, any doing business as (d/b/a) name, contact person details, and relevant business entity type. Ensure to include identification numbers and contact information. Review the entries for accuracy before proceeding.
3. In Section 2, disclose ownership and control interest details. Subsection 2.a focuses on business entity ownership interests; for each entity, fill out the legal name, type, address, and ownership percentage, noting if shares are publicly traded. Subsection 2.b addresses individual ownership or control interests and requires similar information about individuals, including their roles within the disclosing entity.
4. Continue to Section 3 for additional ownership disclosures. Similar to Section 2, this section covers both business entities and individuals involved in the disclosing entity at the next level. Complete all required fields, repeating the process as needed.
5. If applicable, complete Sections 4 through 6 for details about any management companies associated with the disclosing entity, providing relevant business and ownership information.
6. Fill out Section 7 and answer any general disclosure questions related to ownership or control interests, including relationships between individuals and ownership interests in other entities.
7. In Section 8, respond to questions about any past convictions or exclusions from programs related to the services covered by DADS. Provide necessary explanations if applicable.
8. Finally, Section 9 requires a certification of the accuracy of the provided information. Ensure that the document is signed by the owner or authorized representative and is dated accordingly.
9. Once all sections are complete, save changes to your form, and either download, print, or share the form as needed.

Start filling out the DADS Or HHSC Form online now to ensure your application is processed smoothly.