Primary Source Verification Form - ccs4u.org 2026

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  1. Click ‘Get Form’ to open the Primary Source Verification Form in our platform's editor.
  2. Begin by filling out the Employee/Volunteer Information section. Enter your name, position, and department accurately to ensure proper identification.
  3. Next, move to the Education/Professional/Trade Certification Check. Provide the name of the educational institution or association, along with the degree, diploma, or certificate obtained and the date of graduation.
  4. Select one type of Primary Source Verification by checking the appropriate box. Options include Provincial/Territorial, National Board, School/Institution/Trade Association, or Credential Verification Organization.
  5. Indicate your preferred Method of Primary Source Verification by checking either Verbal, Written, or Electronic.
  6. Choose one option for Primary Source Documentation that best fits your verification method and provide any necessary notes in the designated area.
  7. Finally, complete the section for Primary Source Verification Conducted by and enter the date when this verification was completed.

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Methods for conducting primary source verification of credentials include direct correspondence, documented telephone verification, secure electronic verification from the original qualification source, or reports from credentials verification organizations (CVOs) that meet Joint Commission requirements.
Does more than one reliable source give the same information? What other evidence supports the information in the source? Does the source contain discrepancies? Were these errors of the creator of the document or the informant?
Check your source for these to help determine if you are looking at a primary source. Written by experts who did the research. Reports on original research. Describes how the authors did their study. Describes the studys results. Always includes references.
RUSAs Guide to Evaluating Primary Sources: What is the origin of the primary source? What was the significance of the source at the time it was created? Has the source been edited or translated, or altered in some way from the original? What questions could be answered about the time period by using this source?

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