Home Care Aide Certification Application Packet

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Home Care Aide Certification Application Packet Contents: 1. Contents List/SSN Information/Mailing 1 page 2. Certification Requirements and Application Instructions 4 pages 3. Home Care Aide Certification 7 pages 4. Employment Verification ........................................ ................... 1 page 5. Out-of-State Credential Verification 2 pages 6. RCW/WAC and Online Website 1 page Important Social Security Number Information: You are required by state and federal law to provide a social security number with your Application . If you do not have a social security number at the time you send in this Application , please read, complete, and return this form with your Application .

Additional Documents Required with the Application: F Employment Verification Form: Have your employer complete this form. Applicants that are exempt from training and certification require an additional

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