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How to fill out the DH 5067 online
The DH 5067 form is critical for institutions offering public safety telecommunicator training programs. Completing this form accurately enables organizations to gain the necessary approvals to operate their training programs. Follow the steps below to successfully fill out the DH 5067 online.
Follow the steps to complete the DH 5067 form effectively.
- Click the ‘Get Form’ button to access the DH 5067 form and open it in the appropriate online editor.
- In Part I, Course Administration, provide the name and address of the primary institution offering the course, including city, state, zip code, telephone, fax, and email address. Include the name of the institution director and website if applicable.
- If different, specify the primary instructional location. If the training is conducted by another institution, list the details of the secondary institution and attach the required agreement as Attachment 1.
- In Part II, Program of Study, list the 12 student performance standards as outlined, indicating the page number(s) of your course outline that correspond to each point and total hours spent on each subject. Attach a course syllabus as Attachment 2.
- Specify the student to instructor ratio for the skills practice laboratory component. Submit an inventory of training equipment in each location as Attachment 3 and a list of documents retained in a student’s records as Attachment 4.
- Outline the admission requirements and student handbook as Attachment 6. Additionally, attach a copy of the certificate of completion as Attachment 7.
- In Part III, Instructional Staff, provide the name and email of the program coordinator and lead instructors. Attach a description of the institution’s qualification requirements as Attachment 8 and CVs or resumes for the staff as Attachment 9.
- Fill out Part IV regarding procedures for determining course equivalency, ensuring all application submissions meet the required timelines stated.
- Review everything thoroughly to ensure accuracy, sign the certification statement in Part VI, and prepare to submit all completed documents together with the non-refundable fee.
- Once reviewed, save changes to the form, and download, print, or share as necessary for submission to the relevant agency.
Start filling out your DH 5067 online today to ensure your training program complies with regulations.
Must type 35 wpm and pass an evaluation. Must complete Emergency Medical Dispatcher certification (EMD) within 3 months of hire. Must complete Emergency Fire Dispatcher accreditation (EFD) within 3 months of hire.
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