Transcription of Home Care Aide Certification Application Packet
{{id}} {{{paragraph}}}
Example: dental hygienist
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 . 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 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 Box 1099 Olympia, WA 98504-7877 Olympia, WA 98507-1099 Contact us.
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
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: