Attestation statement example for training 2026

1. Click ‘Get Form’ to open the attestation statement in the editor.
2. Begin by checking the applicable courses you have completed, such as Code of Conduct or HIPAA.
3. In the certification section, provide your signature to confirm completion of the courses. Ensure that you also enter the date next to your signature.
4. Print your name clearly in the designated field and include your Employee ID number, which is mandatory.
5. Fill in your Entity Name and Entity Number accurately to ensure proper documentation.
6. The compliance trainer must also sign and date the form, certifying that you completed the training. This step is crucial for record-keeping.
7. Before submitting, double-check that all fields are filled out completely. Incomplete forms will not be accepted.
8. Finally, fax the completed form to the Education & Training Department at 505-468-8001.

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