2. Mail this form and the fee to DARS DHHS PO Box 12306 Austin TX 78711 3. Allow 30 days for processing. DARS3910 06/11 Page 1 of 2 Code of Professional Conduct Tenets 1. Division for Rehabilitation Services Office for Deaf and Hard of Hearing Services Annual Certificate Maintenance DARS DHHS will use the information provided in this form to obtain criminal records. Certificate Holder Information Birth date BEI certification number Certification level Address City Do you have a felony conviction Yes Maiden name State ZIP code County No If yes what is the conviction date Contact Information Daytime phone number Email address Cell phone number optional Video phone number Publish information in DHHS registry Maintenance Method Select one Enclose fee Renewal fee if paid before the expiration date. Fee and Submittal Instructions 1. Enclose a check cashier s check or money order payable to DARS DHHS for the maintenance fee listed above. Interpreters adhere to standards of confidential commun....
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How to fill out the TX DARS3910 online
The TX DARS3910 form is essential for individuals seeking to maintain their certification under the Division for Rehabilitation Services. This guide provides clear, step-by-step instructions on completing the form accurately and efficiently.
Follow the steps to complete the TX DARS3910 online.
- Click the ‘Get Form’ button to obtain the form and access it in the online editor.
- Provide your certificate holder information, including your name, birth date, BEI certification number, certification level, address, city, state, ZIP code, and county.
- Indicate whether you have a felony conviction by selecting 'Yes' or 'No.' If yes, provide the conviction date.
- Enter your contact information, including your daytime phone number, email address, cell phone number (optional), and video phone number.
- Decide if you want your information published in the DHHS registry by selecting 'Yes' or 'No.'
- Select your maintenance method by choosing the applicable fee for renewal, based on the timing of payment relative to the expiration date: $50 if paid before expiration, $75 if paid within 1 to 90 days after, or $100 if paid within 91 to 364 days after expiration.
- Enclose a check, cashier's check, or money order payable to DARS DHHS for the selected maintenance fee.
- Mail the completed form along with the payment to the address: DARS DHHS, PO Box 12306, Austin, TX 78711.
- Allow up to 30 days for your application to be processed.
- Ensure that you sign the form in the designated area, confirming that all provided information is accurate and true.
Complete your TX DARS3910 online now to maintain your certification effectively.
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