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Form 4119 Residential Support Services (Rss) and Supervised Living (Sl) Service Delivery Log - Texas
What Is Form 4119?
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 the Form 4119?
A: Form 4119 is the Residential Support Services and Supervised Living Service Delivery Log.
Q: What is Residential Support Services (RSS) in Texas?
A: Residential Support Services (RSS) in Texas are services that provide support and assistance to individuals with disabilities who live in a residential setting.
Q: What is Supervised Living (SL) in Texas?
A: Supervised Living (SL) in Texas is a residential service that provides a higher level of support and supervision for individuals with disabilities.
Q: What is the purpose of the Form 4119?
A: The purpose of Form 4119 is to document the delivery of residential support services and supervised living services.
Q: Who is required to complete the Form 4119?
A: Service providers who deliver residential support services and supervised living services are required to complete the Form 4119.
Q: What information is recorded on the Form 4119?
A: The Form 4119 records information such as the date and time of service delivery, the type of service provided, and the individual receiving the service.
Q: How often should the Form 4119 be completed?
A: The Form 4119 should be completed every time residential support services or supervised living services are delivered.
Q: Is the Form 4119 specific to Texas?
A: Yes, the Form 4119 is specific to Texas and is used to comply with the Texas Department of Aging and Disability Services requirements.
Form Details:
- Released on May 1, 2019;
- 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 4119 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
