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1917
![Form H1003 "Appointment of an Authorized Representative to Allow Another Person to Act for You" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20713/2071384/form-h1003-appointment-of-an-authorized-representative-to-allow-another-person-to-act-for-you-texas.png "Form H1003 "Appointment of an Authorized Representative to Allow Another Person to Act for You" - Texas")
Form H1003 "Appointment of an Authorized Representative to Allow Another Person to Act for You" - Texas
Size: 99 KB
1 page
This form may be used in the state of Texas when individuals would like to let another person legally act for them in certain situations.
![Form 5506-NAR "Employment Verification" - Texas](https://data.templateroller.com/pdf_docs_html/2238/22388/2238849/form-5506-nar-employment-verification-texas.png "Form 5506-NAR "Employment Verification" - Texas")
Form 5506-NAR "Employment Verification" - Texas
Size: 175 KB
2 pages
This form is used and needs to be completed by a nurse aide and their employer to verify employment. To remain on active status and to provide services in nursing facilities, nurse aides have to do such verifications at least every two years.
![Formulario F "Solicitud De Servicios De Apoyo a La Familia - Documentacion Para Completar Los Servicios De Apoyo a La Familia Y Capacitacion Del Paquete" - Texas (Spanish)](https://data.templateroller.com/pdf_docs_html/2326/23260/2326035/formulario-f-solicitud-de-servicios-de-apoyo-a-la-familia-documentacion-para-completar-los-servicios-de-apoyo-a-la-familia-y-capacitacion-del-paquete-texas-spanish.png "Formulario F "Solicitud De Servicios De Apoyo a La Familia - Documentacion Para Completar Los Servicios De Apoyo a La Familia Y Capacitacion Del Paquete" - Texas (Spanish)")
![Form F "Family Support Services Request - Family Documentation for Completed Family Support Services & Training" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23260/2326034/form-f-family-support-services-request-family-documentation-for-completed-family-support-services-training-texas.png "Form F "Family Support Services Request - Family Documentation for Completed Family Support Services & Training" - Texas")
![Formulario E "Solicitud De Servicios De Apoyo a La Familia - Control De Horas Realizadas Para Proveedores De Servicios De Relevo" - Texas (Spanish)](https://data.templateroller.com/pdf_docs_html/2326/23260/2326040/formulario-e-solicitud-de-servicios-de-apoyo-a-la-familia-control-de-horas-realizadas-para-proveedores-de-servicios-de-relevo-texas-spanish.png "Formulario E "Solicitud De Servicios De Apoyo a La Familia - Control De Horas Realizadas Para Proveedores De Servicios De Relevo" - Texas (Spanish)")
![Form E "Family Support Services Request - Respite Timesheet" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23260/2326032/form-e-family-support-services-request-respite-timesheet-texas.png "Form E "Family Support Services Request - Respite Timesheet" - Texas")
![Form B "Family Support Services Request" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23260/2326036/form-b-family-support-services-request-texas.png "Form B "Family Support Services Request" - Texas")
![Form D "Family Support Services Request - Home Modifications: Written Specifications and Approvals" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23260/2326033/form-d-family-support-services-request-home-modifications-written-specifications-and-approvals-texas.png "Form D "Family Support Services Request - Home Modifications: Written Specifications and Approvals" - Texas")
![Form G "Family Support Services Request - Provider Documentation for Completed Family Supports Services & Training" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23260/2326041/form-g-family-support-services-request-provider-documentation-for-completed-family-supports-services-training-texas.png "Form G "Family Support Services Request - Provider Documentation for Completed Family Supports Services & Training" - Texas")
![Form A "Family Support Services Request - Cover Sheet" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23260/2326043/form-a-family-support-services-request-cover-sheet-texas.png "Form A "Family Support Services Request - Cover Sheet" - Texas")
![Form I "Family Support Services Request - Home Modifications: Final Inspection Report" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23260/2326044/form-i-family-support-services-request-home-modifications-final-inspection-report-texas.png "Form I "Family Support Services Request - Home Modifications: Final Inspection Report" - Texas")
![Form H "Family Support Services Request - Home Modifications: Initial Inspection Report" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23260/2326045/form-h-family-support-services-request-home-modifications-initial-inspection-report-texas.png "Form H "Family Support Services Request - Home Modifications: Initial Inspection Report" - Texas")
![Form C "Family Support Services Request - Vehicle Evaluation" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23260/2326038/form-c-family-support-services-request-vehicle-evaluation-texas.png "Form C "Family Support Services Request - Vehicle Evaluation" - Texas")
![Formulario B "Solicitud De Servicios De Apoyo a La Familia" - Texas (Spanish)](https://data.templateroller.com/pdf_docs_html/2326/23260/2326037/formulario-b-solicitud-de-servicios-de-apoyo-a-la-familia-texas-spanish.png "Formulario B "Solicitud De Servicios De Apoyo a La Familia" - Texas (Spanish)")
![Form G-2V "Virology Specimen Submission Form" - Texas](https://data.templateroller.com/pdf_docs_html/2172/21724/2172413/form-g-2v-virology-specimen-submission-form-texas.png "Form G-2V "Virology Specimen Submission Form" - Texas")
![Form HRG-83 "Ssn Maintenance Memorandum" - Texas](https://data.templateroller.com/pdf_docs_html/2071/20718/2071802/form-hrg-83-ssn-maintenance-memorandum-texas.png "Form HRG-83 "Ssn Maintenance Memorandum" - Texas")
![Form WIC-35 "Family Certification Form" - Texas (English/Spanish)](https://data.templateroller.com/pdf_docs_html/2326/23265/2326580/form-wic-35-family-certification-form-texas-english-spanish.png "Form WIC-35 "Family Certification Form" - Texas (English/Spanish)")
![Form WIC-35 "Family Certification Form" - Texas (English/Vietnamese)](https://data.templateroller.com/pdf_docs_html/2326/23265/2326581/form-wic-35-family-certification-form-texas-english-vietnamese.png "Form WIC-35 "Family Certification Form" - Texas (English/Vietnamese)")
![Instructions for DSHS Form B-13 "State of Texas Purchase Voucher" - Texas](https://data.templateroller.com/pdf_docs_html/2328/23284/2328413/instructions-for-dshs-form-b-13-state-of-texas-purchase-voucher-texas.png "Instructions for DSHS Form B-13 "State of Texas Purchase Voucher" - Texas")
![Form IRB2-2 "Irb2 Amendment Request" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23267/2326788/form-irb2-2-irb2-amendment-request-texas.png "Form IRB2-2 "Irb2 Amendment Request" - Texas")
![Form IRB2-3 "Approval to Apply" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23267/2326787/form-irb2-3-approval-to-apply-texas.png "Form IRB2-3 "Approval to Apply" - Texas")
![Form IRB2-7 "Irb2 Application" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23267/2326791/form-irb2-7-irb2-application-texas.png "Form IRB2-7 "Irb2 Application" - Texas")
![Form IRB2-5 "Irb2 Protocol Deviation Report" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23267/2326792/form-irb2-5-irb2-protocol-deviation-report-texas.png "Form IRB2-5 "Irb2 Protocol Deviation Report" - Texas")
![Form PHC325 "Primary Health Care End of Fiscal Year Reporting Form" - Texas](https://data.templateroller.com/pdf_docs_html/2328/23287/2328705/form-phc325-primary-health-care-end-of-fiscal-year-reporting-form-texas.png "Form PHC325 "Primary Health Care End of Fiscal Year Reporting Form" - Texas")
![Form AIAAA CAQ E3.0 "Caregiver Assessment" - Texas](https://data.templateroller.com/pdf_docs_html/2328/23284/2328419/form-aiaaa-caq-e3-0-caregiver-assessment-texas.png "Form AIAAA CAQ E3.0 "Caregiver Assessment" - Texas")
![Form IRB2-6 "Irb2 Continuing Review or Study Closure" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23267/2326790/form-irb2-6-irb2-continuing-review-or-study-closure-texas.png "Form IRB2-6 "Irb2 Continuing Review or Study Closure" - Texas")
![Form IRB2-4 "Irb2 Disclosure of Potential Conflicts of Interest" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23267/2326795/form-irb2-4-irb2-disclosure-of-potential-conflicts-of-interest-texas.png "Form IRB2-4 "Irb2 Disclosure of Potential Conflicts of Interest" - Texas")
![Form IRB2-1 "Irb2 Adverse Event & Unanticipated Problem Report" - Texas](https://data.templateroller.com/pdf_docs_html/2326/23267/2326789/form-irb2-1-irb2-adverse-event-unanticipated-problem-report-texas.png "Form IRB2-1 "Irb2 Adverse Event & Unanticipated Problem Report" - Texas")
![Form VS-115 "Report of Death" - Texas](https://data.templateroller.com/pdf_docs_html/2172/21728/2172892/form-vs-115-report-of-death-texas.png "Form VS-115 "Report of Death" - Texas")
![Instructions for Form 325 "Primary Health Care Annual Reporting Form" - Texas](https://data.templateroller.com/pdf_docs_html/1958/19581/1958178/instructions-for-form-325-primary-health-care-annual-reporting-form-texas.png "Instructions for Form 325 "Primary Health Care Annual Reporting Form" - Texas")
![Form 3063 "Cshcn Statement of Self-employment Income" - Texas](https://data.templateroller.com/pdf_docs_html/2383/23837/2383746/form-3063-cshcn-statement-of-self-employment-income-texas.png "Form 3063 "Cshcn Statement of Self-employment Income" - Texas")
![Form 6500 "Individual Plan of Care (Ipc) - Deaf Blind With Multiple Disabilities (Dbmd/Community First Choice (Cfc)" - Texas](https://data.templateroller.com/pdf_docs_html/2383/23837/2383745/form-6500-individual-plan-of-care-ipc-deaf-blind-with-multiple-disabilities-dbmd-community-first-choice-cfc-texas.png "Form 6500 "Individual Plan of Care (Ipc) - Deaf Blind With Multiple Disabilities (Dbmd/Community First Choice (Cfc)" - Texas")
![Form 1325 "Synagis Prior Authorization Addendum (Cshcn)" - Texas](https://data.templateroller.com/pdf_docs_html/2324/23246/2324671/form-1325-synagis-prior-authorization-addendum-cshcn-texas.png "Form 1325 "Synagis Prior Authorization Addendum (Cshcn)" - Texas")
![Form 2986 "Listing Permit Request" - Texas](https://data.templateroller.com/pdf_docs_html/2325/23253/2325389/form-2986-listing-permit-request-texas.png "Form 2986 "Listing Permit Request" - Texas")
![Form 1327 "Growth Hormone Agents Standard Pa Addendum (Cshcn)" - Texas](https://data.templateroller.com/pdf_docs_html/2324/23246/2324669/form-1327-growth-hormone-agents-standard-pa-addendum-cshcn-texas.png "Form 1327 "Growth Hormone Agents Standard Pa Addendum (Cshcn)" - Texas")
![Form 2997 "Results of Public Hearing" - Texas](https://data.templateroller.com/pdf_docs_html/2325/23253/2325331/form-2997-results-of-public-hearing-texas.png "Form 2997 "Results of Public Hearing" - Texas")
![Form 3033 "Hemophilia Assistance Program Application" - Texas](https://data.templateroller.com/pdf_docs_html/2325/23254/2325416/form-3033-hemophilia-assistance-program-application-texas.png "Form 3033 "Hemophilia Assistance Program Application" - Texas")
![Form 3031 "Children With Special Health Care Needs (Cshcn) Program Application" - Texas](https://data.templateroller.com/pdf_docs_html/2325/23254/2325414/form-3031-children-with-special-health-care-needs-cshcn-program-application-texas.png "Form 3031 "Children With Special Health Care Needs (Cshcn) Program Application" - Texas")
![Form 3109 "Provider Information Change" - Texas](https://data.templateroller.com/pdf_docs_html/2325/23254/2325412/form-3109-provider-information-change-texas.png "Form 3109 "Provider Information Change" - Texas")
![Form H1134 "Help Statement Verification" - Texas](https://data.templateroller.com/pdf_docs_html/2325/23252/2325226/form-h1134-help-statement-verification-texas.png "Form H1134 "Help Statement Verification" - Texas")
