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 .
F 1. Demographic Information: Social Security Number: You must list your social security number on your application. If you do not have one, complete and return this form. National Provider Identifier Number (NPI): The National Provider Identifier (NPI) is
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