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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 5403
for the current year.
Form 5403 Media Release - Authorization to Photograph or Record a Service Recipient - Texas
What Is Form 5403?
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 5403?
A: Form 5403 is a Media Release - Authorization to Photograph or Record a Service Recipient form.
Q: What is the purpose of Form 5403?
A: The purpose of Form 5403 is to obtain consent from a service recipient in Texas to allow photographs or recordings to be taken during a service.
Q: Who needs to fill out Form 5403?
A: The service recipient in Texas needs to fill out Form 5403.
Q: What does Form 5403 authorize?
A: Form 5403 authorizes the organization to photograph or record the service recipient for the purpose specified in the form.
Form Details:
- Released on September 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 5403 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
