CONTINUING EDUCATION CREDIT HOURS CLOCK HOURS PROTEACH - www-test ospi k12 wa 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out SECTION I. Enter your last name, first name, and middle name in the designated fields.
3. Provide your complete address, including city, state, and ZIP code.
4. Input your date of birth and optional social security number for identification purposes.
5. Fill in your business and home telephone numbers along with your email address.
6. If applicable, include your maiden or former name in the provided field.
7. Review the certification statement carefully before signing. Ensure all information is accurate to avoid any issues.
8. Sign and date the affidavit at the bottom of the form to certify that all information is true and correct.

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