Get Request For Exams And Amap Application Must Arrive At Phd ...

Completing the Request For Exams And AMAP Application is an essential step for individuals seeking to take the necessary exams. This guide provides clear and concise instructions to help users navigate the form effectively, ensuring a smooth application process.

Follow the steps to fill out the Request For Exams And AMAP Application.

1. Click the ‘Get Form’ button to access the application and open it in your preferred editing tool.
2. Enter your full name as it appears on your identification documents in the designated field.
3. Provide your social security number in the appropriate section; ensure that you only disclose this information in accordance with privacy guidelines.
4. Specify the date and time you would like to schedule your test, ensuring that it is at least seven business days in advance.
5. Fill out the required certification section, affirming that the candidates are not listed on the WV NA Abuse Registry and have completed the approved AMAP training program.
6. In the authorized AMAP RN signature section, an authorized RN must sign and provide their name and license number.
7. Complete the facility information, including the facility ID number, telephone, fax, and email address.
8. Provide the testing site location, including the street address, city, and state.
9. Indicate your payment method from the available options, and fill in the necessary details as required.
10. Once all fields are complete, review your application for accuracy. Save changes, and then download or print the form for submission.
11. Mail or fax the completed application along with the payment to the specified address: PHD, LLC, P.O. BOX 399, ONA, WV 25545, or fax to 304-733-6146.

Complete your Request For Exams And AMAP Application online today to ensure timely processing!