Pa credential initial 2026

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  1. Click ‘Get Form’ to open the PA Director Credential Initial Application in the editor.
  2. Begin by filling out the Applicant Information section. Enter your name, home address, city, state, zip code, county, phone number, email address, and the last five digits of your Social Security number.
  3. Provide details about your facility including its name, address, phone number, and MPI number. Specify the ages served and type of programs offered.
  4. In the Experience section, select your supervisory/administrative experience from the provided options and attach a letter from your employer verifying this experience.
  5. Complete the Education section by indicating your highest degree obtained. Attach copies of your college transcripts to support your claims.
  6. Ensure all required documentation is attached before submitting your application. This includes a non-refundable fee of $25.00 and any necessary letters or certificates.

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