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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 .

application for a professional or occupational license. 42 U.S.C. § 666(a)(13); RCW 26.23.150. It will be used under the state’s child support enforcement program to locate ... Home Care Aide Certification Application Packet ...

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