Get Application For Dd Personnel To Attend The Dodd Medication Administration (ma) Certification Course

This guide provides a clear and supportive approach to completing the Application For DD Personnel To Attend The DODD Medication Administration (MA) Certification Course online. By following these instructions, users can ensure a smooth application process.

Follow the steps to successfully complete your application online.

1. Click ‘Get Form’ button to access the application form and open it in your preferred online editing tool.
2. On the first page, ensure that your employer fully completes their section. They should provide details such as the agency name, DODD provider number, work location, supervisor's name, and their contact information.
3. Confirm the employment verification details by checking the boxes to indicate true statements regarding employment status, age, proof of high school diploma, and completion of background checks.
4. The employer must sign and date the document, attesting to the accuracy of the information provided.
5. On the second page, the DD personnel should complete their section by selecting the relevant medication administration category and providing personal information such as name, date of birth, contact details, and social security number (last four digits only).
6. DD personnel should indicate if they are an Independent Provider and provide proof of their high school diploma or equivalency, if applicable.
7. If working for multiple DD employers, list all employer names and their provider numbers.
8. Finally, review all information for accuracy, sign and date the application to affirm that all information is true and current.
9. Once completed, save your changes, then download, print, or share the form as necessary.

Complete your application online to ensure timely processing and certification.