Get Business Information Form - Texas Department Of State Health Services - Dshs State Tx

Filling out the Business Information Form from the Texas Department of State Health Services is essential for maintaining compliance in the radiation safety sector. This guide provides a clear overview of the form and instruction on how to complete it online, ensuring a smooth submission process.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your business or company name in the first section. If your business operates under a different name, include this under 'Doing business as.'
3. Fill in the physical business location, including the street address, city, state, and zip code.
4. Provide a business telephone number in the designated field. Ensure that this number is where your business can be reached for any follow-up or inquiries.
5. If your billing address differs from the physical business location, fill out the billing address section with the same level of detail as the physical address.
6. In the certification of financial qualification section, check the applicable block(s) that pertain to your business’s financial requirements. Ensure that you are complying with the relevant regulations.
7. Complete one of the sections 1, 2, 3, or 4 that corresponds to your business type, whether it is a corporation, partnership, governmental entity, or none of the above. Provide the necessary details as prompted.
8. Sign the application in section 5 as the applicant or an authorized representative. Include your title and date of signing.
9. After filling in all the required information, review the form for accuracy. Save your changes, and when ready, you can download, print, or share the completed form.

Ensure your compliance by completing the Business Information Form online today.