Form SPI / CERT4001R Application for Reissuance of the Residency Administrator Certificate - Washington

Form SPI / CERT4001R Application for Reissuance of the Residency Administrator Certificate - Washington

What Is Form SPI/CERT4001R?

This is a legal form that was released by the Washington State Office of Superintendent of Public Instruction - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the SPI/CERT4001R?
A: SPI/CERT4001R is the application form for reissuance of the Residency Administrator Certificate in Washington.

Q: What is the Residency Administrator Certificate?
A: The Residency Administrator Certificate is a certification for individuals who manage long-term care facilities in Washington.

Q: Who should use the SPI/CERT4001R form?
A: The SPI/CERT4001R form is for individuals who need to reapply for their Residency Administrator Certificate.

Q: Are there any requirements for reissuance of the Residency Administrator Certificate?
A: Yes, there are requirements such as completing continuing education hours and meeting any other eligibility criteria set by the Department of Health.

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Form Details:

  • Released on November 1, 2017;
  • The latest edition provided by the Washington State Office of Superintendent of Public Instruction;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SPI/CERT4001R by clicking the link below or browse more documents and templates provided by the Washington State Office of Superintendent of Public Instruction.

Download Form SPI / CERT4001R Application for Reissuance of the Residency Administrator Certificate - Washington

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