Get Registration Form Department Of Health (doh) Lead Based Paint ... - Dsf Health State Pa

Filling out the Registration Form from the Department of Health for Lead-Based Paint Training is essential for employees of government agencies and non-profit organizations. This guide provides step-by-step instructions to assist users in completing the form accurately.

Follow the steps to complete your registration form online.

1. Click ‘Get Form’ button to access the registration form and open it in your preferred editor.
2. Fill in your trainee information clearly and legibly, including the trainee's name, social security number or employee ID, job title, agency or employer, address, telephone number, fax number, and email address.
3. Indicate the course title and course date for which the trainee is registering. Ensure that this information matches the training session you are applying for.
4. Select the type of sponsoring agency by checking the appropriate box, either State or Local Government or Non-profit. Make sure this accurately reflects the agency's status.
5. Obtain an authorized signature from an approving authority within the agency. This signature is mandatory for your registration to be accepted.
6. Include the date of the signature and the title of the individual signing the form. This verifies the authenticity of the registration request.
7. If applying for a refresher course, attach a copy of the trainee’s initial session certification or current license, as required.
8. Review the completed form for accuracy and ensure all required fields are filled out before submission.
9. Save your changes, download a copy for your records, and print the form, if necessary, to retain documentation of your registration.
10. Submit the completed form via fax to Aimee Wilson at (570) 963-0242 or email it to awilson@cocciardi.com, including the necessary signature.

Complete your registration form online to ensure a smooth and efficient process.