Find an Official Agency Form

TRS-53 Required as part of the criminal background check process for all prospective credentialed individuals. Multiple languages available. 

TRS-54 Required as part of the criminal background check process for all prospective certified program. Multiple languages available.

 TRS-AN Consent to disclose information in relation to incidents of abuse and/or neglect. Multiple languages available. 

TRS-60 This consent form authorizes the release of tenants’ personal information for supportive housing and case management services. Multiple languages available.

TRS-61 Authorization and limited consent to comply with federal reporting requirements. Multiple languages available.

TRS-62 Substance use disorder patient consent to disclose LOCADTR assessment information for insurance payment. Multiple languages available.

TRS-62G Gambling patient consent to disclose LOCADTR assessment information for insurance payment. Multiple languages available.

TRS-63 Survey Allows for the exchange of client information among designated behavioral health entities via SurveyMonkey. Multiple languages available.

TRS-63 Template Allows for the exchange of client information among designated behavioral health entities via template.

TRS-64 Sample consent form to authorize the disclosure of Information through a Health Information Exchange Organization. Multiple languages available.