Transcription of Home Care Aide Certification Application Packet
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Home Care Aide Certification Application Packet
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 . A Individual Taxpayer Identification Number (ITIN) or a Canadian Social Insurance Number (SIN) cannot be substituted. In order to process your request: Mail your Application with initial documentation and your check Send other documents not sent with or money order payable to: initial Application to: Department of Health Home Care Aide Credentialing Home Care Aide Credentialing Box 47877.
You must hand write in English all information clearly in ink. It is your responsibility to submit the required forms to the department. F Application and Examination Fees.Complete and submit the original application
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