Transcription of Home Care Aide Certification Application Packet
{{id}} {{{paragraph}}}
Example: barber
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.
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
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: