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First aid training request letter

CPR and First Aid Training Request Form - Oregon.gov 2026

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4.2 out of 5

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The document is a CPR/First Aid Training Request Form for the Oregon Home Care Commission (OHCC). It outlines the eligibility criteria for workers to participate in the training program, including requirements such as having an active provider number, prior authorized hours, and completion of previous OHCC training classes. The form must be completed and submitted for processing, with a note that prior approval is necessary before registering for any training class.

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Click ‘Get Form’ to open the CPR and First Aid Training Request Form in the editor.
Begin by entering your personal information. Fill in your First Name, Last Name, HCW Provider Number, PSW Provider Number, Phone Number, County in Oregon, Mailing Address, City, State, ZIP Code, and Email Address.
Indicate any certifications you have received by checking the appropriate boxes for Professional Development Certification, Enhanced Worker Certification, or Exceptional Worker Certification.
Select your preferred language from the options provided: English, Spanish, or Russian.
List your last two training classes and their completion dates. If you are requesting recertification, ensure to list four completed training classes.
Once all fields are filled out accurately, review your information for completeness before submitting. You can turn in the completed form via email at training.ohcc@state.or.us or by mailing it to OHCC.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (230 Votes)
2020	4.3 Satisfied (134 Votes)
2018	4.2 Satisfied (79 Votes)

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