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The CDPH 283B is a form provided by the California Department of Public Health for reporting a birth to the local registrar.
INFORMATION. FILING THIS STATEMENT - This statement must report all UI/SDI subject California wages paid and California Personal Income Tax withheld during the calendar year as shown on the Forms W-2 and/or 1099-R.
If you complete a CNA course, you will present the Form 283B on your testing day. If you are renewing your license or applying for equivalency, you will present the CDPH Form 932.
The document is an application form for the Nursing Home Administrator Program (NHAP) by the California Department of Public Health (CDPH).
All recent Nurse Assistant Training Graduates must submit a completed initial nurse aide application/283b form [PDF] to CDPH either by mail or through the CDPH online portal for your information to be added to the Nurse Assistant Registry - OASYS. Submit the 283b form to CDPH prior to the program completion.

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In order to transfer your out-of-state certificate to California, you must complete and submit the following to CDPH: A Certified Nurse Assistant Equivalency/Reciprocity Application (CDPH 283E). Obtain your fingerprints either one of the two methods below: A copy of your out-of-state CNA certificate.

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