Cdph283 b 2026

1. Click ‘Get Form’ to open the cdph283 b application in the editor.
2. Begin with Section I. Select the type of request by checking the appropriate box: enrolling in a CNA training program, equivalent training, or requesting reciprocity from another state.
3. Proceed to Section II. Fill in your personal information including first name, last name, date of birth, and contact details. Ensure all required fields are completed accurately.
4. In Section III, answer the questions regarding any criminal convictions and health-related licensing actions. If applicable, provide details as requested.
5. If you have completed CNA training, fill out Section IV with your training details including school name and dates. Otherwise, skip this section.
6. Finally, review Section V where you will certify that the information provided is true. Sign and date the form before submission.

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