Tdlr Form Ab043 PDF Details

In the realm of ensuring accessible building designs and facilities, the Texas Department of Licensing and Regulation (TDLR) plays a pivotal role through various forms and regulations. Among these, the TDLR AB043 form stands out as a crucial document intended for use within the state's architectural landscape. This form specifically facilitates the designation of an owner's agent—a person authorized to act on behalf of a property owner with respect to compliance with the Texas Architectural Barriers Act. The meticulous design of the form asks for comprehensive project and contact information, and mandates the written designation of an agent, underscoring the importance of accountability and clear communication in the compliance process. Apart from serving as a bridge between property owners and the TDLR, it also aligns with the stipulations set forth in the Texas Administrative Code. Moreover, the form's provisions for information privacy and the right to corrections, echo the broader legal standards concerning personal information handling by governmental entities. By facilitating owner-agent designations, the form plays a foundational role in ensuring that buildings and facilities are accessible to everyone, reflecting a commitment to inclusivity and compliance that benefits the wider community.

QuestionAnswer
Form NameTdlr Form Ab043
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesTDLRnotificationLists, LICENSING, Texas, asp

Form Preview Example

TEXAS DEPARTMENT OF LICENSING AND REGULATION

COMPLIANCE DIVISION - ARCHITECTURAL BARRIERS

P.O. Box 12157 • Austin, Texas 78711 • (512) 463-3211 • (800) 803-9202 • FAX (512) 475-2886 architectural.barriers@license.state.tx.us • www.license.state.tx.us

OWNER AGENT DESIGNATION

In accordance with the Texas Department of Licensing and Regulation’s (TDLR) Administrative Rule 68.10(10), individuals

designated to act on the owner’s behalf must be designated in writing.

FORM MUST BE COMPLETED IN FULL

 

 

PLEASE PRINT OR TYPE

Project Information

 

 

 

 

 

 

 

 

 

 

1.

Project Name:

 

 

2. EABPRJ #:

 

 

 

 

 

 

3.

Building or Facility Name:

 

 

 

 

 

 

 

 

 

 

4.

Address:

Suite#:

City:

 

Zip:

 

 

 

 

 

 

Owner Agent Information

5.Name:

7.Address:

6. Company/Firm:

City:

State:

Zip:

 

 

 

 

 

8. Phone:

9. Fax:

10. **Email:

Building or Facility Owner Name (Person or Entity That Holds Title to Property)

11.Name:

13.Address:

12. Company/Firm:

City:

State:

Zip:

 

 

 

 

 

14. Phone:

15. Fax:

16. **Email:

Owner’s Designated Agent

If the owner chooses to designate an agent to act on the owner’s behalf, per 16 Texas Administrative Code, Chapter 68, Architectural Barriers Administrative Rules 68.10(10), the owner must do so in writing. The Owner Agent Designation Form must accompany the Project Registration Form and/or Request for Inspection Form if an agent will be designated.

I ______________________

_______ designate ____________________________________________ as my agent

Owner (Print)

Agent (Print)

In all responsibilities of ensuring compliance with the provisions of the Texas Architectural Barriers Act, Texas Government Code, Chapter 469.

____________________________________________

____________________________________

Owners Signature

Date

TDLR FORM AB043 03-07 NOTE: An individual who completes and files this form with the Texas Department of Licensing and Regulation (the Dept.) is entitled to the following:

1)to be informed about the information that the Dept. collects about the individual, upon their request and subject to a few exceptions;

2)to receive and review the information, under Sections 552.021 and 552.023 of the Texas Govt. Code; and

3)have the Dept.t correct information about the individual that is incorrect, under Section 559.004 of the Texas Govt. Code.

**The Department will add your address to the Architectural Barriers email notification list, which automatically provides Department information on matters affecting Architectural Barriers. Your email address is confidential pursuant to the Texas Public Information Act; the Department will not share it with the public. For additional information link to: http://www.license.state.tx.us/newsletters/TDLRnotificationLists.asp

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How one can fill out tdlr owner agent designation form step 1

2. Just after this section is filled out, go on to enter the applicable details in all these: Phone, Owners Designated Agent, Fax, City Email, If the owner chooses to designate, TDLR FORM AB NOTE An individual, and to be informed about the.

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