Get Tx 3724 1999-2025

The TX 3724 form, issued by the Texas Department of Aging and Disability Services, is essential for documenting licensing violations and outlining corrective actions in long-term care facilities. This guide will provide clear, step-by-step instructions on how to complete this form accurately online.

Follow the steps to successfully complete the TX 3724 online.

1. Press the ‘Get Form’ button to retrieve the TX 3724 form and launch it in your selected editor.
2. Fill in the facility vendor identification number, ensuring accuracy to facilitate proper tracking and accountability.
3. In section A, enter the building information associated with the facility, including any specific designations.
4. In section B, specify the wing of the building if applicable, which helps in identifying the exact location of the issues addressed.
5. Complete the facility name and address fields, including street, city, state, and ZIP code to ensure proper identification of the facility.
6. Provide the state designation and TAG ID number, which are crucial for verifying the facility's compliance status.
7. Draft a summary statement of licensing violations, clearly detailing each violation that has occurred.
8. For the Facility Representative, include their signature to validate the submission.
9. Outline the facility's plan of correction, ensuring that each corrective action is cross-referenced with the appropriate licensing violation.
10. Indicate completion dates for each action taken, which helps in tracking adherence to corrective measures.
11. If applicable, utilize continuation sheets and reference them appropriately to document ongoing issues.
12. Finally, review the completed form for accuracy, then save your changes, download, print, or share the form as needed.

Complete your documents online to ensure compliance and maintain efficiency.