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ARIZONA DEPARTMENT OF HEALTH SERVICES DIVISION OF PUBLIC HEALTH SERVICES BUREAU OF EMERGENCY MEDICAL SERVICES TRAUMA SYSTEM Continuing Medical Education Attestation Applicant s Full Name Applicant s Certification Number Basic EMT AZ Only Level of Recertification Advanced EMT Intermediate 99 Paramedic In accordance with Arizona Revised Statute A. R.S. 36-2202 A 6 and B 3 and Arizona Administrative Code A. A. C. R9-25-406 C 3 an Emergency Medical Care Technician may choose to recertify by...
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Form certification attestation is a document that certifies the accuracy and completeness of the information provided on a form.
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The purpose of form certification attestation is to ensure that the information provided on the underlying form is accurate and complete.
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