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Click ‘Get Form’ to open the hca application online in the editor.
Begin by filling out the Demographic Information section. Ensure you provide your Social Security Number, legal name, date of birth, and contact details clearly.
Proceed to the Personal Data Questions. Answer each question honestly, especially regarding any medical conditions or criminal history that may affect your application.
In the Type of Services Provided section, check all applicable boxes that describe your role as a home care aide or related services.
Complete the Training and Education section by listing relevant courses and certifications. Attach additional pages if necessary.
Finally, review all sections for accuracy before signing and dating the Applicant’s Attestation at the end of the form.
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