Cdph 932 form 2026

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36 votes

The document is an application form for the Nursing Home Administrator Program (NHAP) by the California Department of Public Health. It outlines the requirements and procedures for applying for a nursing home administrator license, including necessary fees, personal information, educational background, and criminal history disclosures. The form also includes sections for verification of licensure from other states and emphasizes the importance of providing accurate information under penalty of perjury.

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Click ‘Get Form’ to open the cdph 932 form in the editor.
Begin by entering your personal information in the designated fields, including your name, social security number, and current address. Ensure that all details are accurate to avoid delays.
Attach a recent photo (2" x 2") in the specified area for identification purposes. This is crucial for processing your application.
Proceed to answer the questions regarding your employment history as a Nursing Home Administrator. If applicable, provide details about previous licenses held in other states.
Complete the education section by listing your academic qualifications and any specialized training relevant to nursing home administration.
Review all entered information carefully. Once confirmed, sign and date the application at the bottom before submitting it through our platform.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (67 Votes)
2014	4 Satisfied (36 Votes)

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