Form 2856, Child Care Licensing Homebound Fingerprint Request

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Effective Date

1/2019

2856.pdf

Instructions

Updated: 1/2019

Purpose

Use this form to request the collection of fingerprints from a homebound individual required to undergo a Child Care Licensing (CCL) background check in a foster/adoptive home or CCL home-based operation. Note: In order to qualify for this service, the individual must truly be unable to leave his or her residence due to medical issues or disability.

Procedure

Complete all fields on this form and email it to ContactCBCU@hhsc.state.tx.us. You will be notified by email when your request has been reviewed, and if approved, the request will be assigned to a Department of Family and Protective Services special investigator to obtain the fingerprints from the subject of the FBI background check.