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Get Ok Odh Form 717 2022-2025
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How to fill out the OK ODH Form 717 online
Filling out the OK ODH Form 717 online is a straightforward process that enables you to renew your Nurse Aide certification efficiently. This guide provides clear, step-by-step instructions on how to complete each section of the form accurately.
Follow the steps to fill out the form correctly.
- Press the ‘Get Form’ button to access the form and open it in the designated online editing tool.
- In Section 1, check the appropriate box for the type(s) of Nurse Aide Certification(s) you wish to renew, ensuring you indicate all relevant certifications.
- Move to Section 2, where you will check the corresponding box for Certified Medication Aide renewal. Remember to attach documentation of continuing education, showing eight hours of training when applicable.
- Fill out Section 3 with your personal information, including your date of birth, full name, social security number, current mailing address, email address, and telephone number. Ensure that your information is accurate and clearly written.
- In Section 4, provide employment verification by documenting eight hours of paid work within the last 24 months. You can use an administrative signature, a paystub, or a Form W-2 as proof.
- Complete Section 5 by affirming the information provided on the form. This section requires your signature and the date to confirm that all information is true to the best of your knowledge.
- After finishing all sections, review your form for accuracy. Save your changes and consider downloading, printing, or sharing the form as needed to ensure submission.
Begin your online process by completing the OK ODH Form 717 today.
Renew Fill out the relevant application section in the Oklahoma Nurse Aide Renewal Application Form. Pay the $10 renewal fee. Exception: A renewal as an LTC only is free of charge. Send the renewal form by email to nar@health.ok.gov or by mail (incl.
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