This version of the form is not currently in use and is provided for reference only. Download this version of Form HS-3475 for the current year.
This is a legal form that was released by the Tennessee Department of Human Services - a government authority operating within Tennessee. Check the official instructions before completing and submitting the form.
Q: What is HS-3475?
A: HS-3475 is a form that pertains to Adult Protective Services Sub-recipient Authorized Signatories.
Q: What is the purpose of HS-3475?
A: The purpose of HS-3475 is to gather information about authorized signatories for Adult Protective Services sub-recipients in Tennessee.
Q: Who needs to complete HS-3475?
A: Adult Protective Services sub-recipients in Tennessee need to complete HS-3475.
Q: What information is required on HS-3475?
A: HS-3475 requires information about the sub-recipient agency, authorized signatory, and their contact information.
Form Details:
Download a fillable version of Form HS-3475 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Human Services.