Get Texas 3703 Form

When filling out the Texas 3703 form, it is important to follow certain guidelines to ensure accuracy and compliance. Here are seven things to do and not do:

• Do provide complete and accurate facility information, including the full name and physical address.
• Do include the correct contact person's details, such as their title and telephone number.
• Do check the appropriate boxes for the type of application being submitted.
• Do ensure that the project cost estimate is realistic and clearly stated.
• Don't leave any required fields blank; incomplete forms may delay processing.
• Don't forget to include the correct fee and remitter name on the payment coupon.
• Don't submit the application without reviewing it for errors or omissions.

What is the Texas 3703 form?

The Texas 3703 form is an application for plan review for a nursing facility. It is used to request optional plan review services from the Texas Department of Aging and Disability Services (DADS). This application is specifically for the review of construction plans and does not cover licensing or accessibility reviews.

Who needs to fill out the Texas 3703 form?

The form must be completed by individuals or organizations planning to construct, relocate, or modify a nursing facility. This includes owners, architects, and engineers involved in the project.

What information is required in the Facility/Project Information section?

This section requires details such as:

• Facility name and physical address
• Contact person’s name, title, and contact information
• Estimated project cost
• Fire sprinkler system status

What should I include in the Applicant Information section?

In this section, provide information about the owner or owner's contact person, including:

• Name and title
• Contact details (telephone, email, fax)
• Architect and engineering firm details, including registration numbers

What types of applications can be submitted using this form?

The form allows for various types of applications, such as:

• Initial construction of a new facility
• Relocation of an existing facility
• Additions to existing buildings or areas

What fees are associated with the Texas 3703 form?

Fees vary based on the type of project:

• New single-story facilities: $20 per bed, minimum $2,000
• New multi-story facilities: $24 per bed, minimum $2,500
• Additions or remodeling: 2% of construction cost, minimum $500, maximum $2,000
• Alzheimer's certification: additional $550

How do I submit the Texas 3703 form?

The completed form and plans should be submitted to:

Texas Department of Aging and Disability Services
Long Term Care Regulatory Architectural Unit
701 West 51st Street
Austin, TX 78751

Payment should be mailed separately to:

Texas Department of Aging and Disability Services
Regulatory Services
P.O. Box 149055, Mail Code E-411
Austin, TX 78714-9055

What happens after I submit the Texas 3703 form?

After submission, the Texas Department of Aging and Disability Services will review the plans. They will assess compliance with state regulations and may provide feedback or request additional information.

Is there a separate application required for licensing?

Yes, a separate application is needed for licensing. The Texas 3703 form is solely for plan review purposes and does not fulfill licensing requirements.

Can I check the status of my application?

Yes, you can contact the Long Term Care Regulatory Architectural Unit at 512-438-2371 to inquire about the status of your application.

How to Use Texas 3703

Completing the Texas 3703 form is essential for initiating the plan review process for a nursing facility. After filling out the form, ensure that you submit it along with the required payment to the appropriate address. Timely submission is crucial to avoid delays in your project.

1. Facility/Project Information:
   • Enter the full name of the facility.
   • Provide the physical address, including city, state, ZIP code, and county.
   • List the full name of the facility/project contact person.
   • Include the contact person’s title.
   • Provide the contact person’s telephone number, including area code.
   • Enter the contact person’s fax number, including area code.
   • Include the Internet address or email of the contact person.
   • If different, provide the mailing address, including city, state, and ZIP code.
   • Estimate the project cost in dollars.
   • Indicate if the facility will be completely fire sprinklered by checking Yes or No.
2. Applicant Information:
   • Provide the full name of the owner or owner’s contact person.
   • Include the title of the owner’s representative.
   • Provide the owner’s representative’s telephone number, including area code.
   • Enter the Internet address or email of the owner’s representative.
   • Provide the owner’s representative’s fax number, including area code.
   • If different, provide the address for the owner’s representative, including city, state, and ZIP code.
   • List the name of the architectural firm.
   • Provide the architectural firm’s telephone number, including area code.
   • Enter the full name of the architect whose seal is on the drawings.
   • Include the architect’s Texas registration number.
   • Provide the name of the architectural project manager.
   • Include the project manager’s title.
   • Provide the Internet address or email of the project manager.
   • Enter the project manager’s fax number, including area code.
   • Provide the mailing address of the project manager, including city, state, and ZIP code.
   • List the name of the engineering firm.
   • Provide the engineering firm’s telephone number, including area code.
   • Enter the full name of the engineer whose seal is on the drawings.
   • Include the engineer’s Texas registration number.
   • Provide the name of the engineering project manager.
   • Include the project manager’s title.
   • Provide the Internet address or email of the project manager.
   • Enter the project manager’s fax number, including area code.
   • Provide the mailing address of the project manager, including city, state, and ZIP code.
3. Type of Application:
   • Check the appropriate boxes for the type of application.
   • Provide a brief description if applicable, such as "Laundry," "Kitchen," or "Living/Dining."
   • Indicate the number of proposed beds for the project.
   • Provide the number of beds before the project.
   • Provide the number of beds after the project.
   • Indicate if plans have been previously submitted for this project by checking Yes or No.
   • If Yes, provide the date and remitter’s name.
4. Type of Facility:
   • Check the appropriate boxes for the type of facility.
   • Provide the total number of floors if it is a multi-story facility.
   • Indicate the capacity of Alzheimer’s certified areas.
   • Describe any locked areas that are not Alzheimer’s certified.
   • Provide the capacity for the locked area.
5. Fees:
   • Compute the fee based on the Texas Administrative Code.
   • Provide the check number from your payment.
   • Include the remitter's name, the person who signed the check.
   • Provide the remitter’s telephone number, including area code.

Filling out the Texas 3703 form can be a straightforward process, but many applicants make common mistakes that can delay their application. One frequent error is failing to provide complete facility information. It’s essential to include the full name of the facility, its physical address, and the contact person’s details. Missing any of these components can lead to confusion and may result in the application being returned for correction.

Another mistake often seen is neglecting to check the appropriate boxes under the type of application. Applicants should carefully assess whether they are submitting for new construction, relocation, or an addition. Misclassifying the application can lead to processing delays, as the Texas Department of Aging and Disability Services needs accurate information to proceed.

Additionally, many people overlook the importance of providing accurate project cost estimates. This estimate is crucial for calculating the applicable fees. If the estimate is too low or missing altogether, it can create complications in the fee assessment process. Ensuring that this information is precise and clearly stated can save time and prevent additional back-and-forth communication.

In the section regarding the type of facility, applicants sometimes fail to specify whether the facility is single-story or multi-story. This detail is vital for regulatory compliance and affects the review process. Not indicating the correct number of floors can lead to misunderstandings about the facility’s design and intended use.

Finally, applicants often forget to include the necessary payment information. This includes providing the check number and the name of the person who signed the check. Without this information, the application may not be processed until the payment issue is resolved. Attention to these details can make a significant difference in the efficiency of the application process.