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TX EF 12-12870 2008-2025 free printable template

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This document is used to screen inmates and employees for symptoms of tuberculosis during the intake process and to refer them for further evaluation if necessary.
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How to fill out tb questionnaire form texas

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How to fill out TX EF 12-12870

01
Obtain the TX EF 12-12870 form from the Texas Department of Motor Vehicles website or office.
02
Fill in your personal information in the designated fields, including your name, address, and contact details.
03
Provide vehicle information, such as the VIN, make, model, and year of the vehicle.
04
Indicate the purpose of the form by selecting the appropriate checkbox.
05
If applicable, include any additional documents required as specified on the form.
06
Review the information for accuracy before submission.
07
Sign and date the form at the bottom to certify the information provided.
08
Submit the completed form to the appropriate Texas DMV office or as instructed.

Who needs TX EF 12-12870?

01
Individuals applying for a vehicle title or registration in Texas.
02
People who need to report certain changes related to their vehicle ownership.
03
Applicants who are submitting a request for a salvage vehicle title.
04
Any person or business entity involved in a vehicle transaction within Texas.
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You may need a TB screening test if have symptoms of active TB disease, including: A cough that lasts longer than three weeks. Coughing up blood or sputum (a thick mucus from the lungs) Chest pain.
The TB skin test is performed by injecting a small amount of fluid (called tuberculin) into the skin on the lower part of the arm. A person given the tuberculin skin test must return within 48 to 72 hours to have a trained health care worker look for a reaction on the arm.
to be repeated? If you have a negative skin test, you need a repeat test at least once every four years. If you have a documented positive skin test, you must have an initial chest X-ray. After that, you still need to be screened every four years.
A repeat TB test (e.g., TB blood test or a TB skin test) is not required. Annual TB testing of health care personnel is not recommended unless there is a known exposure or ongoing transmission at a healthcare facility. Health care personnel with untreated latent TB infection should receive an annual TB symptom screen.
There are two kinds of tests used to detect TB bacteria in the body: the TB skin test (TST) and TB blood tests. A positive TB skin test or TB blood test only tells that a person has been infected with TB bacteria.
If you have a current TB two-step test completed more than one year ago, you will need to complete a new TB one-step test (two appointments with your doctor).
What you should bring proof of identification, which contains your photograph, such as your passport. the TB test fee. if you have had TB in the past or have any other lung disease, details of previous screenings and, if possible, medical notes and x-ray results.
Please answer the following questions: Have you ever had a positive TB skin test? Have you ever had close contact with anyone who was sick with TB? Have you ever been vaccinated with BCG? * The significance of the travel exposure should be discussed with a health care provider and evaluated.
6. How long is the test valid? A negative test is valid for 2 years and must not expire at any time during the semester.
This questionnaire must be administered to all child care providers, by a licensed health care professional, before coming into contact with children. Directors, operators, additional caregivers, substitutes, and individuals who volunteer more than once a week must be screened.

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TX EF 12-12870 is a form used for reporting specific financial information related to Texas entities as required by the state.
Texas entities that meet certain financial thresholds or are specifically instructed by the Texas Comptroller are required to file TX EF 12-12870.
To fill out TX EF 12-12870, entities should provide the required financial information, including revenue and expenses, and ensure all sections of the form are completed accurately before submission.
The purpose of TX EF 12-12870 is to collect financial data from Texas entities to aid in state financial planning and reporting.
TX EF 12-12870 requires entities to report information such as total revenue, expenses, assets, and liabilities, along with any other specific financial metrics as outlined by the Texas Comptroller.
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