Get Cdph 8200 Sra 3

Filling out the Cdph 8200 Sra 3 is an essential process for renewing your supervisor and operator certificate. This guide provides clear, step-by-step instructions to help users navigate the online form efficiently.

Follow the steps to successfully complete your renewal application.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by entering your certificate details. Include your certificate expiration date, phone number, and certificate number in the provided fields.
3. Fill in your personal information. Input your last name, suffix, first name, middle name, street address, city, state, and zip code. If your address has changed since your last certificate was issued, check the appropriate box.
4. If applicable, submit a request for a name change by including a certified court order and a government-issued picture ID.
5. Select your healing arts license type and provide your license number and expiration date.
6. List all required continuing education credits in the designated space. Ensure you detail the certifying organization, course title, provider or sponsor, date, and group hours for each entry.
7. If you wish to request a cancellation of your certificate, indicate the specific categories to be canceled. Keep in mind that cancelations may affect your eligibility for reinstatement.
8. Review all information to ensure accuracy. Complete the required signature and date fields.
9. After verifying all entries, save your changes. You can then download, print, or share the form as needed.

Complete your Cdph 8200 Sra 3 online today to ensure timely processing of your certificate renewal.