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How to fill out the Asha Record Keeping Form online
Filling out the Asha Record Keeping Form is an important step for professionals seeking certification maintenance. This guide will help you navigate the process of completing this form online with confidence.
Follow the steps to successfully complete the Asha Record Keeping Form online.
- Click the ‘Get Form’ button to access the Asha Record Keeping Form. This action will open the form in your preferred editor, allowing you to start inputting your information.
- In the first section, enter your name and ASHA ID#. Ensure that the information is accurate and corresponds with your professional identification.
- List the title of each professional development activity you have completed in the designated field. Be sure to provide this information on separate lines for clarity.
- Next, fill in the completion date for each activity. Use the format recommended within the form to maintain consistency.
- Indicate the area(s) of certification that the activities pertain to by checking the appropriate boxes for CCC-A, CCC-SLP, or dual.
- Record the sponsoring organization or third party associated with each activity, providing relevant details as needed.
- Calculate the number of Certification Maintenance Hours (CMHs) earned for each activity. Remember that one clock hour translates to one CMH; refer to the conversion rates for CEUs if applicable.
- Review the completed form for accuracy and ensure all fields are filled out correctly before proceeding.
- Finally, you can save changes to your completed form. Options will be available to download, print, or share the form as needed. Make sure to choose a method that best suits your submission preference.
Start completing your Asha Record Keeping Form online today!
Related links form
Three-Year Certification Maintenance Intervals Every certificate holder is assigned a 3-year certification maintenance interval. All professional development hours must be completed within this time period. Maintaining certification is an ongoing process and once the interval ends, a new interval is assigned.
Fill Asha Record Keeping Form
Record Keeping Form for Professional Development Hours (PDH) Audit. Instructions. • You must submit a Certification Maintenance Compliance Form (Not Current Certificates Holders Only) with this form. ASHA gives us a handy record keeping form. You could print the form and keep it in a special CEU folder. If you get audited, you submit a Record Keeping Form along with your Verification of Attendance Forms. This extension request form is now closed—it will reopen December 1, 2025, for individuals in the 2023–2025 maintenance interval.
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