View a sample letter. Please provide your contact information, complete all relevant parts of this Section, and sign the form.Your patient has requested leave under the FMLA. Requirements: Texas resident, Texas ID, social security card, committed to 12 month stay, and drug free in recovery. A recovery agreement is a contract between an employer and executive employee where the executive must pay back erroneously awarded compensation if given. If you think we may have recovered unpaid wages for you, use the Workers Owed Wages (WOW) application to search and claim them. The STEAR program is a free registry that provides local emergency planners and emergency responders additional information on the needs in their community. Telemed Authorization Form – By filling out this form, you authorize your employee for telemedicine. A Texas Hotel Occupancy Tax Exemption Certificate (PDF) must be filled out and retained for review at the hotel where the tax is collected. We make every effort to locate and notify every employee due back wages.