Form 2021 is a Texas State Licensing Form used if you provided "Home Health, Hospice or Personal Assistance Services (PAS) for pay or other considerations in a client's residence, an independent living environment or another appropriate location should submit this application."
From: https://www.dads.state.tx.us/training/cbt/HCSSA/Form2021Training/Licensingapplication2021_print.html
