Get Dshs Subscription Program Surety Bond - Texas Department Of ...

Filling out the DSHS Subscription Program Surety Bond is an essential task for emergency medical services providers in Texas. This guide will provide you with clear, step-by-step instructions to help you complete this important form accurately and efficiently, ensuring compliance with state regulations.

Follow the steps to accurately complete your surety bond form online.

1. Click ‘Get Form’ button to obtain the DSHS Subscription Program Surety Bond form and open it in the designated platform.
2. In the first section, enter your name as the principal, which should reflect the name of the emergency medical services provider.
3. Provide the street address of your business, ensuring it is accurate for correspondence.
4. If your mailing address differs from your street address, fill in the appropriate section with your different mailing address.
5. Include a valid telephone number for contact purposes.
6. Specify the surety company that will be backing the bond, ensuring they are authorized to operate in Texas.
7. Indicate the total bond amount you are committing to, which should align with the financial requirements set by the state.
8. After reviewing all fields for accuracy, proceed to the signature section for both the principal and surety representatives to sign and print their names.
9. Ensure that the bond is countersigned by a resident agent, confirming the surety’s accountability.
10. Finally, save your changes, and choose to download, print, or share the completed form as needed.

Complete your DSHS Subscription Program Surety Bond form online today.