Get Ok Odmhsas Verification Of Employment For Case Management Certification 2017-2025

Filling out the OK ODMHSAS Verification Of Employment For Case Management Certification is an essential step in the certification process. This guide will provide you with clear instructions on how to accurately complete the form online, ensuring that you meet all necessary requirements.

Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the applicant's printed name in the designated field. This must be the full name of the person seeking certification.
3. In the signature field, the applicant must provide their signature to verify that the information supplied is true and correct.
4. Fill in the date when the applicant signs the form.
5. Next, move to the section labeled 'To be completed by person verifying employment.' Here, you will enter the agency name in the provided field.
6. Input the Agency NPI number accurately to ensure proper verification.
7. Record the applicant’s hire date in the specified area. This is essential for confirming the applicant's employment duration.
8. Provide the name of the person verifying the employment in the next field.
9. Indicate the title or position of the person verifying employment to establish their authority.
10. Fill in the agency contact phone number for any inquiries related to the verification.
11. Include an agency contact email address to facilitate further communication.
12. The person verifying the employment should sign in the designated signature field to confirm the authenticity of the information provided.
13. Finally, fill in the date when the verification was signed.
14. Upon completing the form, ensure that it is saved properly. You can download, print, or share the form as needed.

Complete your verification of employment online to streamline your certification process.