Form 1734 Service Provider and Employer Certification of Relationship Status for Cds - Texas

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Form 1734 Service Provider and Employer Certification of Relationship Status for Cds - Texas

What Is Form 1734?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 1734?A: Form 1734 is a document used in Texas to certify the relationship status between a service provider and an employer.

Q: What is the purpose of Form 1734?A: The purpose of Form 1734 is to establish the relationship between a service provider and an employer for the purpose of obtaining a CDS (Community Disability Services) provider contract.

Q: Who needs to fill out Form 1734?A: Both the service provider and the employer need to fill out Form 1734.

Q: What information is required on Form 1734?A: Form 1734 requires information such as the names and contact details of the service provider and employer, as well as details about their relationship and the nature of the services being provided.

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Form Details:

  • Released on June 1, 2015;
  • The latest edition provided by the Texas Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 1734 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 1734 Service Provider and Employer Certification of Relationship Status for Cds - Texas

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