Transcription of Home Care Aide Certification Application Packet
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Home Care Aide Certification Application Packet
DOH 675-002 September 2017 Home Care Aide Certification Application PacketContents: 1. 675-002 ..Contents List/SSN Information/Mailing Information ..1 page2. 675-003 .. Certification Requirements and Application Instructions Checklist ..4 pages3. 675-005 ..Home Care Aide Certification Application ..7 pages4. 675-006 ..Employment Verification ..1 page5. 675-007 ..Out-of-State Credential Verification Form ..2 pages6. RCW/WAC and Online Website Links ..1 pageImportant Social Security Number Information:You are required by state and federal law to provide a social security number with your Application .
• Long-term care workers who must become certified home care aides. • Individuals who are not required to be a home care aide, but choose to apply. F 4: Other License, Certification, or Registration: List all credentials you have held since last being credentialed in Washington State. List in date order, most recent to later.
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