Certified Nurse Assistant CNA Home Health Aide HHA In Service Training Continuing Education Units CE 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your printed name as a CNA/HHA in the designated field at the top of the form.
3. Provide your signature in the appropriate section, confirming your identity and agreement.
4. Fill in your certificate number and social security number, ensuring accuracy for validation purposes.
5. In the training section, list each course title attended, checking the box if it was an online training session.
6. Record the date of attendance and hours obtained for each training session, ensuring compliance with CEU requirements.
7. Obtain the signature of the instructor responsible for each training session to validate completion.
8. If additional pages are needed, copy this page and continue filling out as required.
9. Finally, ensure that all information is accurate before submitting this record with your Renewal Application (CDPH 283 C).

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