RENEWAL APPLICATION CERTIFIED HEALTHCARE FACILITY MANAGER ID: (Enter your current ASHE member number. If not a member, leave ID blank.) Certification Number: CHFM Expiration Date (MM/DD/YYYY): / /.
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How to fill out the Chfm Renewal online
Completing the Chfm Renewal form online is a crucial step in maintaining your certification as a Certified Healthcare Facility Manager. This guide provides you with clear instructions to navigate each section of the form effectively.
Follow the steps to complete the Chfm Renewal application with ease.
- Click ‘Get Form’ button to access the Chfm Renewal application and open it in the editor.
- Enter your current ASHE member number in the ID field. If you are not a member, leave this field blank.
- Input your Certification Number in the designated field.
- Fill in the Expiration Date using the format MM/DD/YYYY.
- Provide your full Name by entering your first name, middle initial, and last name in the corresponding fields.
- Enter the Facility or Company you are associated with in the appropriate field.
- Complete the Address section with your current mailing address.
- Fill in your Daytime Telephone Number in the specified format.
- Provide your Email address in the designated space.
- Optional: Enter your Fax Number if applicable.
- Review the Renewal Provisions carefully to understand the requirements for renewal, choosing between continuing professional education or re-examination.
- If choosing Alternative I, list your continuing professional education activities, including course titles, providers, dates of activity, content code, type code, and contact hours.
- If opting for Alternative II, indicate your intention to renew through successful re-examination and attach a copy of your passing CHFM score report.
- Sign and date the application on Page 6, attesting to the truthfulness of your information and adherence to Professional Standards of Conduct.
- Attach all required documentation and submit the completed application, ensuring it is mailed to the correct address at least 30 days before your certification expiration date.
- Once completed, you can save your changes, download the form, print it, or share it as needed.
Start your Chfm Renewal application online today to ensure your certification remains active.
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