Get Loan Repayment Employment Verification Form - Oshpd Ca

Filling out the Loan Repayment Employment Verification Form - Oshpd Ca online is a crucial step for applicants seeking loan repayment benefits. This guide will provide you with clear and detailed instructions to assist you in completing each section of the form accurately.

Follow the steps to complete the form efficiently.

1. Press the ‘Get Form’ button to access the Loan Repayment Employment Verification Form and open it in your document editor.
2. Begin by entering the applicant’s name at the top of the form. Ensure accuracy as this information will be critical for identification purposes.
3. Next, fill in the employer's name in the designated field, followed by the employer's complete address, including city, state, zip code, and county.
4. Move on to the section for the employer’s administrative officer or direct supervisor to complete. This includes fields for the start date, job title, and employment status. Indicate whether the applicant works full-time (32+ hours a week) or part-time (less than 32 hours).
5. Provide the average weekly hours worked by the applicant. Detail the direct patient care hours and approximate percentage of time spent on direct patient care versus other duties.
6. If applicable, the direct supervisor must complete the supervisory role section, indicating the percentage of time spent supervising and on administration.
7. The supervising officer should list any additional languages spoken by the applicant within the work environment or community.
8. After filling out the necessary information, the supervisor must print their name, title, contact phone number and fax, and email address.
9. Finally, the supervisor must read the declarations, sign, and date the form, ensuring it includes an original ink signature, as copies or faxes will not be accepted.
10. As the applicant, input the verified information from your supervisor onto the Employment Verification Form page of your application.
11. Once all sections are completed, review the form for accuracy and completeness. Save changes, download, print, or share the form as necessary.

Complete your documents online today for a smooth submission process.