Illinois certification verification
[DOC File]Checklist for Verification of Staff Authorized
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This form can be used in two ways: 1) by the provider agency, to document for agency quality assurance and training purposes that a staff person is authorized to administer medications to specific individuals and/or 2) upon request of the Division of Developmental Disabilities’ Bureau of Quality Management (BQM) in response to cited deficiencies regarding medication administration.
[DOC File]Request for Non Member Credential Verification
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Illinois Certification Board, Inc. d/b/a Illinois Alcohol & Other Drug Abuse Professional Certification Association Inc. Marcia Van Natta, CADC, President, Board of Directors, Jessica Hayes, Executive Director . 401 East Sangamon Avenue - Springfield, IL 62702 (217)-698-8110
[DOC File]Form #006a Bi-Weekly Verification of Trade Training ...
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The instructor must complete #15, #16, #17, and #18. Online course attendance verification must be made via: a) instructor signature on this form; b) email from instructor; or c) training institution printout. [Verification via b or c must contain the two-week period, course name and number, participant name, and answers to questions #15, 16, #17.]
[DOC File]CERTIFICATION OF NEED FOR REASONABLE …
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Please state your qualifications or professional credentials to make this verification, please also list your Illinois Medical License Number if you are a physician or licensed by the state: _____ CERTIFICATION: I understand that I may be contacted by HACC’s staff to verify the information I have provided or to provide further information ...
[DOCX File]Application for IACP Voluntary Police Chief Certification
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Please fill out this renewal application completely and accurately. All statements in your application are subject to verification. Upon completion of the application, return it to the ILACP, Attn: Carmen Kent, 426 South Fifth Street, Springfield, IL 62701-1824 with a check for . $1. 5. 0.00. if …
[DOC File]MAINTAINING YOUR CERTIFICATION - Illinois Alcohol and ...
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Attach documentation of attendance (certificate, letter of verification, roster or sign in sheet) if applying for CEUs after attending the training program. ... May 2012 Illinois Certification Board d/b/a Illinois Alcohol and Other Drug Abuse Professional Certification Association, Inc.
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