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931 Form: What You Should Know

Verification and return of information statement CDP 931 (07) This form is available on our website at:. Originally certified under the last name of: Original date of certification:. Verification of Current Nurse Assistant Certification (Forms 922-B) Note: The CD-1 is not available online. Please call us at:. Verification of Current Nurse Assistant Certification Form (Form 922-B) If this is your first certification, you have 45 days from certification to submit a complete certification of registration. The CD-1 or form 922-B must be presented to the California Department of Social Services. If the certification is not received, an additional 45 days is required as follows: If Form 922-B is received after the 45th calendar day, a new one is required for each subsequent form of medical certification. CD-1, Form 922-B CD-2, Form 922-B If a medical certification (Form 922-B) is filed after the 45th calendar day, the medical certification (Form 922-B) is considered filed in your previous month's case; the certification can only be filed in the current month. Medical certification (Form 922-B) Medical Certification (Form 922-B) CD-3, Form 922-B If the certification is not received by the deadline (45 days in this case) a new one is required for each subsequent medical certification. Medical certification (Form 922-B) If form 922-B is not in your current case, or you do not maintain the form and do not intend to provide the form to the state in the future, request it be faxed to you, If the CD-1 or form 922-B do not contain all the information you are required to file, please check the “Allowed Errors and Corrections” box. If you wish to dispute a certification, please call our office at the number provided on the form. If there are medical certification (Form 922-B) for this period, and you do not keep all the required documents, file a new case on the next available date for each medical certification and submit all corrected forms to the California Department of Social Services.

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Instructions and Help about 931 form

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