REGION 12 BOARD
Director Casey Gardner 469-835-5674
Tarrant County President and Region Secretary, Jason Wilson 817-366-1200
Dallas President and Region Treasurer, Travis Coleman 214-799-7739
Fort Worth President Tina Carmona 817-991-0555
Mid Cities President Stephanie Gardner 469-835-5674
Waxahachie President Bryan Courville 817-308-9874
Chapters in Region 12
FORMS
Chapter Report form for Region12
Membership Application form
Employee Application form
Chapter Transfer Application form
Auto-pay application form
Credit Card Application form
Credit Card Authorization form
Insurance Beneficiary form
Expense Reimbursement form
Scholarship Application Form
Matching Grant Request Form
Arrow Insurance 800-833-3433
Ray Arouesty Insurance Agent
Summary of your IPSSA Liability Insurance Benefits
Texas Department of Licensing and Regulation
Residential Appliance Installer License Application
Residential Appliance Installation Contractor License Application
Drain and Acid Wash Disclosure
Basic Residential Service Agreement sample
Basic-Plus Residential Service Agreement sample
Premium Residential Service Agreement sample
Service Chemical Log sample 1
Service Chemical Log sample 2
Use of IPSSA logo Policy
IPSSA Logo
