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Texas Dept of Family and Protective ServicesForm 2911 October 2012GOVERNING BODY/DIRECTOR DESIGNATION Texas law gives you the right to know what information is collected about you by means of a form.

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How to fill out the Form 2911 online

Filling out Form 2911 online can be a straightforward process if you follow the necessary steps carefully. This guide is designed to assist users in completing the form effectively and efficiently, ensuring all required information is accurately provided.

Follow the steps to fill out Form 2911 online.

  1. Click the ‘Get Form’ button to retrieve the form and open it for editing.
  2. Begin with Section A, where you need to provide the name of your operation and its operation number. Make sure to accurately enter your address and telephone number with the correct area code.
  3. Input the governing body or organization’s name and address. This includes the street, city, state, and telephone number (with area code).
  4. Next, print the name of the Chief Executive Officer of the governing body along with their mailing address, including street, city, state, and zip code, as well as their telephone number with area code.
  5. Fill in the name of the designee of the governing body and their mailing address, ensuring to include all relevant details such as street, city, state, and zip code.
  6. Read and understand the declaration regarding the responsibilities associated with the designee and governing body. This includes acknowledgment of compliance responsibilities and procedures for communication.
  7. If applicable, indicate whether you would like to receive routine compliance information by checking the appropriate option.
  8. Obtain the Chief Executive Officer's signature, title, and date in the designated area to finalize Section A.
  9. Proceed to Section B, where you will designate the director. Fill in the name of the director and the location of the operation clearly.
  10. The final step involves signing Section B. The owner, governing body, or designee must also provide their title and the date to confirm the designation.
  11. Once all sections are completed, save your changes. You may also choose to download, print, or share the form as needed.

Complete your Form 2911 online today for a streamlined submission process.

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The DD Form 2910 explains the reporting options available to victims of sexual assault and is the form by which a victim makes an official report (either Restricted or Unrestricted). The DD Form 2911 records the findings of the Sexual Assault Forensic Examination (SAFE) and is part of the SAFE kit.

Required Use of DD Form 2911: • The Department of Defense requires that every healthcare provider who conducts a sexual assault medical forensic examination in a MTF must use a standard form to record findings.

Required Use of DD Form 2911: • The Department of Defense requires that every healthcare provider who conducts a sexual assault medical forensic examination in a MTF must use a standard form to record findings.

Listed Family Homes Schedule: You need to become a Listed Family Home in Texas if you provide care for at least four hours per day, three or more days a week, for three or more consecutive weeks OR four hours a day for 40 or more days in a 12 month period.

This form may be used in other matters before other agencies (e.g., Department of Veterans Affairs) or for other lawful purposes. Restricted Reports: By signing this form I am giving consent that for Restricted Reports, when applicable, this form will be stored electronically in DSAID for 50 years.

The DD Form 2910 explains the reporting options available to victims of sexual assault and is the form by which a victim makes an official report (either Restricted or Unrestricted). The DD Form 2911 records the findings of the Sexual Assault Forensic Examination (SAFE) and is part of the SAFE kit.

DD Form 2910, “Victim Reporting Preference Statement” DD Form 2910-1, "Replacement of Lost DD Form 2910" DD Form 2910-2, "Retaliation Reporting Statement for Unrestricted Sexual Assault Cases"

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