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How to fill out the DOH-4231 online
The DOH-4231 form is essential for EMT-paramedic recertification in New York State. This guide will provide you with clear instructions to help you complete the form accurately and efficiently.
Follow the steps to complete your DOH-4231 form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering your EMT number in the designated field. This number is crucial for identification purposes.
- Provide your Social Security number in the specified format, ensuring all hyphens are correctly placed.
- Fill in your last name, middle initial, and first name using uppercase letters as instructed.
- Enter your complete address, including city, state, and zip code, in the corresponding fields.
- Input the agency code of your participating agency in the provided section.
- Affirm your eligibility by checking the box regarding any misdemeanors or felonies. This section is vital as it influences your certification status.
- Sign and date the form in the applicant's signature section, clearly printing your name below the signature.
- Ensure that copies of your current CPR and ACLS certifications are included with the form. These copies should show the front and back of each card.
- Complete the skill competency verification section by listing all required skills and ensure that the physician medical director signs off on your skills.
- Fill in the continuing education hours achieved and include topics, ensuring the totals meet the required hours.
- In the final section, sign and date the form again, ensuring that both the participant and the sponsoring agency contact have provided their signatures.
- Once completed, save your changes and prepare to print or download the form for submission.
Complete your DOH-4231 form online and ensure your recertification is processed smoothly.
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In New York, the levels of EMS certification include Emergency Medical Responder, EMT, Advanced Emergency Medical Technician, and Paramedic. Each level requires different training and testing criteria, providing options for those interested in joining EMS. It's crucial to understand these certifications to excel in your chosen path. For more information on requirements and processes, visit US Legal Forms, which offers resources aligned with DOH-4231.
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