Cdph c 2026

1. Click ‘Get Form’ to open the cdph c application in the editor.
2. In Section I, select the type of request: CNA Renewal, HHA Renewal, or CNA Reactivation. Fill in your certificate number as required.
3. Proceed to Section II and enter your personal information including last name, first name, date of birth, and social security number. Ensure all fields marked as required are completed.
4. In Section III, answer the questions regarding any convictions or adverse actions taken against you since your last renewal. Provide details if applicable.
5. If you are an HHA applicant, complete Section IV by confirming completion of the required In-Service Training hours.
6. CNA applicants should fill out Section V regarding In-Service Training and employment history. Make sure to provide accurate facility information if applicable.
7. Complete Section VI only if you did not meet renewal requirements and wish to reactivate your certificate.
8. Finally, sign and date Section VII to certify that all information provided is true and correct before submitting your application.

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