In the State of California, professionals dedicated to ensuring public health through environmental safety are required to continuously update their knowledge and skills. One crucial part of this commitment is encapsulated in the REHS 02 form, a document mandating Registered Environmental Health Specialists (REHS) to verify the completion of 24 contact hours of continuing education. This requirement, overseen by the California Department of Public Health, is essential for the renewal of their certification. The form acts not only as a record of educational advancement but also as a testament to the specialist’s ongoing commitment to their field. It requires detailed information on the courses completed, including the date, contact hours received, course title, and the accreditation agency, ensuring that all information is transparent and verifiable. Furthermore, the necessity of retaining certificates of completion for a five-year period highlights the importance of accountability and compliance in the profession. Notably, the form includes provisions for an audit process, conducted by the Environmental Health Specialist (EHS) Registration Program, to ensure adherence to these stringent continuing education requirements. This process is a testament to the high standards maintained within the realm of environmental health, demonstrating the meticulous efforts taken to safeguard public health and safety in California.
| Question | Answer |
|---|---|
| Form Name | California Form Rehs 02 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names |
State of California – Health and Human Services Agency |
California Department of Public Health |
REGISTERED ENVIRONMENTAL HEALTH SPECIALIST - Continuing Education Verification Form
INSTRUCTIONS: Complete section below to verify completion of 24 contact hours of Registered Environmental Health Specialist (REHS) continuing education. If necessary continue on a separate sheet of paper.
DO NOT SEND ORIGINAL CERTIFICATES OR COPIES UNLESS INSTRUCTED BY THIS OFFICE. Copies of your certificates will be required to document course completion by the Environmental Health Specialist (EHS) Registration Program during the audit process. If you are selected for an audit, you will be notified by email. You must sign the signature line at the bottom of this form to certify the authenticity of your reported continuing education courses.
Send this completed form along with your renewal application and payment to: |
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California Department of Public Health |
Name: ______________________________________________________ |
EHS Registration Program MS 7404 |
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PO Box 997377 |
REHS #: _________________________ |
Sacramento, California |
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Date of |
Course |
Contact Hours |
Received |
Course Title
Recognized Provider/
Instructor
Accreditation Agency
Location
TOTAL HOURS =
I certify that I have taken the courses listed above and will have certificates in my possession to verify successful completion of the continuing education courses listed. I understand that I am responsible for maintaining these legal documents for five years.
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Signature ___________________________________________________________________ |
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Date ___________________________________________ |
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FOR EHS REGISTRATION PROGRAM USE ONLY: |
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REHS CE Hours Complete |
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Need Further Review |
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Selected for Random Audit |
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REHS 02 (6/12)