Get Certification And Acknowledgement Form - Genworth Producer

Filling out the Certification And Acknowledgement Form - Genworth Producer is an essential step in complying with Michigan's Long-Term Care training requirements. This guide provides clear and detailed instructions to help you navigate the form efficiently and accurately.

Follow the steps to complete your form seamlessly.

1. Use the ‘Get Form’ button to obtain the Certification And Acknowledgement Form and open it in the editor.
2. In the first section, you will certify your completion of the mandatory Long Term Care training requirement. Ensure you read and understand this section before proceeding.
3. Enter the course title, which is 'Michigan Required Training for Long Term Care,' as specified in the form.
4. Provide the name of the course administrator as 'Genworth Financial' in the designated field.
5. Fill in the date of course completion in the area provided; it is crucial to format it correctly.
6. Sign the form in the Producer Signature section, ensuring your signature is clear and legible.
7. Write the date you are signing the form in the designated space.
8. Print your full name in the area provided for 'Producer Full Name.'
9. Input your Producer Code Number or Social Security Number in the appropriate field.
10. Complete your address details, including street address, city, state, and zip code.
11. Once you have filled in all required information, review the form for accuracy and completeness.
12. After ensuring all fields are filled out accurately, you can save your changes, download, print, or share the form as necessary before submission.

Complete your Certification And Acknowledgement Form online today!