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Recertification Form - Commission on Ohio Dental Assistant - codacertification 2026
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How to use or fill out Recertification Form - Commission on Ohio Dental Assistant - codacertification
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name and CODA Certification number in the designated fields. Ensure accuracy as this information is crucial for your recertification.
- Fill in your email address, mailing address, city, and zip code. If you have a new address, check the box provided.
- Provide your phone number and the last four digits of your Social Security number for identification purposes.
- Document your Continuing Education Hours by listing each course title, date, sponsor, speaker, and total hours completed. Remember that a minimum of 12 hours is required annually.
- Calculate your fees based on the postmark date. If submitted by December 31, include a fee of $20; otherwise, include a late fee for a total of $30.
- Sign and date the form at the bottom before submitting it to ensure it is valid.
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See more coda renewal versions
We've got more versions of the coda renewal form. Select the right coda renewal version from the list and start editing it straight away!
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2015 | 4 Satisfied (25 Votes) |
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