Get Tx Ccs-frm-001.bh - City Of Dallas 2017-2025

The TX CCS-FRM-001.BH form is essential for those looking to apply for a boarding home facility license in the City of Dallas. This guide will walk you through the steps to complete the form online accurately and efficiently.

Follow the steps to fill out the TX CCS-FRM-001.BH online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by selecting whether you are applying for a new license or renewing an existing one by checking the appropriate box at the top of the form.
3. Fill in the office use only section, including spaces for receipt number, date, SR#, and license fee paid.
4. Complete the payor information by providing the name and address of the individual or entity that is making the payment.
5. Next, input the facility address and select the type of facility from the provided options. Ensure that you choose the correct category to avoid discrepancies.
6. In Section 1, enter the applicant's information, including their legal name, addresses, and contact details. If applicable, include the criminal history report for those who have lived in another state within the past 10 years.
7. If the applicant is a business entity, complete Section 2 by providing the authorized officer/agent details and confirming the same residence requirement.
8. Provide the facility's information in Section 3, including the facility name, the current and maximum number of residents, and primary contact details.
9. Section 4 requires the property owner's information. Fill it out completely, ensuring that all legal names and addresses are accurate.
10. If applicable, complete Section 5 for the property owner's authorized officer/agent and property management company details.
11. In Section 6, list all additional owners, operators, employees, and/or volunteers associated with the facility, completing all requested information for each individual.
12. Detail the services offered in Section 7 by checking the appropriate boxes and listing any additional services not previously mentioned.
13. Complete Section 8 by reporting the number of residents, particularly those with disabilities, without needing to specify the impairments.
14. In Section 9, enter the emergency contact's information and confirm their involvement in the facility's daily operations.
15. Fill out Section 10 to confirm ownership, the facility's capability to house residents with addictions, and compliance with local regulations.
16. Finally, ensure the application is signed by the owner/operator or the person in control of the facility, including their identification details and date.
17. Review the entire form for accuracy, and save changes. You will then have the option to download, print, or share the completed form.

Complete your TX CCS-FRM-001.BH application online today to ensure a smooth licensing process.