Get Tx Form 3628 2015-2025

Filling out the TX Form 3628 online can simplify the process of creating a service backup plan for individuals requiring community living assistance. This step-by-step guide will help ensure that you complete the form correctly and efficiently.

Follow the steps to successfully complete the TX Form 3628.

1. Press the ‘Get Form’ button to obtain the TX Form 3628 and open it for editing.
2. Begin by entering the name of the individual for whom the service backup plan is being created in the designated field.
3. Select the type of service backup plan you are submitting, such as Community Living Assistance and Support Services (CLASS) or Deaf Blind with Multiple Disabilities (DBMD).
4. Fill in the date of the service planning team meeting and the effective date of the service backup plan.
5. If applicable, indicate whether this is a revision to a backup plan and describe the backup plan strategies and sequence.
6. List specific actions to be taken in the absence of service delivery, ensuring clarity and detail.
7. Obtain the required signatures from backup service providers, and record their names and titles next to their signatures.
8. Secure the plan approval signatures from the individual or their legally authorized representative, as well as other service planning team members and case managers.
9. Once you have completed the form, you can save your changes, download it, print it, or share it as needed.

Complete your TX Form 3628 online today for an efficient service backup planning experience.