Yes. You or your substitute caregiver must complete, sign, and date the form.

Source Note: The provisions of this §747.705 adopted to be effective September 1, 2003, 28 TexReg 1462; amended to be effective April 15, 2017, 42 TexReg 1906; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909