Get Form B: Verfication Of Alternative Contact Hours - Dona

Filling out the Form B: Verification Of Alternative Contact Hours - Dona is an essential step in verifying your alternative contact hours earned for recertification as a birth doula. This guide will provide you with clear instructions on how to complete the form accurately and efficiently online.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Carefully review the instructions at the top of the form. Ensure you understand that you must print legibly and complete all required fields.
3. In the section for alternative contact hours, choose the relevant option by marking the corresponding box. Refer to the list provided and select only the options for which you have earned hours.
4. For the selected alternative contact hour option, fill in the date when the activity was completed.
5. Input the number of alternative contact hours you earned for the selected option. Make sure this number does not exceed the maximum allowable hours stated in the form.
6. Obtain the verification signature from the appropriate person, such as the instructor, midwife, or meeting facilitator. They should also provide their name, position/title, date, email address, and phone number.
7. If required, confirm that you have attached any supporting documentation related to the alternative contact hours, as outlined in the informational packet.
8. Finally, provide your name, signature, and date at the bottom of the form as the recertifying doula.
9. Once you have completed all sections, you can save changes, download the form, print it, or share it as needed.

Complete your documents online today to ensure your recertification process goes smoothly.