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.
Q: What is Form 3696?
A: Form 3696 is the Expression of Intermediary Preference form.
Q: What does Form 3696 capture?
A: Form 3696 captures the preferences of intermediaries in Texas.
Q: Who needs to complete Form 3696?
A: Intermediaries in Texas need to complete Form 3696.
Q: Why is Form 3696 important?
A: Form 3696 helps capture the preferences of intermediaries, which can be useful for various purposes.
Form Details:
Download a fillable version of Form 3696 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.