Downloading a Form to Your Computer

Fillable forms cannot be viewed on mobile or tablet devices. Follow the steps below to download and view the form on a desktop PC or Mac.

  1. Right Click for PC or Ctrl + Click for Mac on the PDF link and click “Save link as” from the menu.
  2. Select the folder you want to save the file in and then click "Save."
  3. Navigate to the folder you saved the file in and Right Click for PC or Ctrl + Click for Mac, then select "Open With" from the menu and select Adobe Acrobat Reader DC.

    Note: Open the PDF file from your desktop or Adobe Acrobat Reader DC. Do not click on the downloaded file at the bottom of the browser since it will not open the PDF in Adobe Acrobat Reader DC. It will try to open the file in the browser that results in the same browser error message.

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Effective Date: 
5/2018

Documents

Instructions

Updated: 5/2018

 

Purpose

State Law requires the Texas Health and Human Services Commission (HHSC) to collect fees for issuing licenses, registrations, and listings and for conducting background checks.  HHSC deposits the checks it receives in the state's general revenue fund.

Procedure

When to Prepare

Complete the fee schedule form to submit with your fee payment. No cash is accepted.
Title 40 of the Texas Administrative Code, §§745.505-521 establishes the following fee schedule:
$35 nonrefundable fee for an initial application or compliance certificate to operate a child care operation paid when the application is submitted.
$2 fee per person paid each time a Criminal History and Central Registry background check is requested.  

Transmittal

Mail the completed corresponding fee schedule form for your home and your check or money order to:

Texas Health and Human Services Commission
Accounts Receivable
P.O. Box 149055
Austin, TX 78714-9055

Exemption

Certified or state-run operations are exempt from application and licensing fees.