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Affidavit for BCD Recertification
1. I affirm that currently and in the past twelve months I have held the highest clinical license(s) in
good standing in the jurisdiction(s) where I practice(d) (other
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How to fill out affidavit for bcd recertification
How to fill out affidavit for BCD recertification?
01
Read and understand the instructions: Before filling out the affidavit for BCD recertification, carefully read and understand the instructions provided by the certifying organization. These instructions will guide you through the process and ensure that you provide all the necessary information.
02
Gather required documents: Collect all the required documents that may be necessary to support your affidavit. This may include identification documents, previous certification records, and any relevant supporting evidence.
03
Identify the purpose of the affidavit: Determine the specific purpose of the affidavit for BCD recertification. It could be to verify your training hours, declare any additional certifications obtained, or provide any other relevant information required for recertification. Clearly identify the purpose to ensure accurate completion.
04
Provide personal details: Start by providing your full name, contact information, and any other personal details requested on the affidavit form. Double-check for accuracy and ensure that all sections are completed.
05
Declare previous certifications: Declare any previous certifications you have obtained that are relevant to the recertification process. Include the name, date, and certifying organization for each certification. Attach copies of the certification documents if required.
06
List training hours: Provide a detailed account of your training hours completed since your previous certification. Include the date, duration, and a brief description of each training program. Ensure that the training programs are relevant and align with the certification requirements.
07
State any additional qualifications: Declare any additional qualifications or certifications you have obtained since your previous certification. Include the name, date, and certifying organization for each qualification. Attach copies of the qualification documents if necessary.
08
Sign and date the affidavit: After completing all the necessary sections, sign and date the affidavit. By signing, you affirm that the information provided is true and accurate to the best of your knowledge.
09
Submit the affidavit: Follow the instructions provided by the certifying organization on how to submit the completed affidavit. This may involve mailing it, uploading it through an online portal, or submitting it in person. Make sure to meet any deadlines and include any required supporting documents.
Who needs an affidavit for BCD recertification?
01
Individuals seeking recertification: Any individual who holds a BCD certification that requires periodic recertification will need to complete an affidavit for BCD recertification. This includes individuals whose certification has expired or is nearing expiration and wish to maintain their certification status.
02
Certification organizations: Certification organizations that regulate BCD certifications may require individuals to fill out an affidavit as part of the recertification process. By submitting the affidavit, individuals provide the necessary information to the organization for them to assess the eligibility for recertification.
03
Employers or regulatory bodies: Employers or regulatory bodies in certain industries may require individuals to undergo recertification for BCD due to safety or regulatory requirements. In such cases, the affidavit may be requested by these organizations to ensure that the individual meets the necessary standards and qualifications.
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What is affidavit for bcd recertification?
Affidavit for bcd recertification is a sworn statement confirming the accuracy of information provided for recertification of bcd.
Who is required to file affidavit for bcd recertification?
Anyone seeking recertification of bcd is required to file affidavit for bcd recertification.
How to fill out affidavit for bcd recertification?
Affidavit for bcd recertification can be filled out by providing accurate information and signing it in front of a notary public or authorized official.
What is the purpose of affidavit for bcd recertification?
The purpose of affidavit for bcd recertification is to verify the authenticity of the information provided for recertification.
What information must be reported on affidavit for bcd recertification?
Information such as personal details, certification details, and any changes or updates since the last certification must be reported on affidavit for bcd recertification.
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