The CDPH 283B form, officially titled the Certified Nurse Assistant and/or Home Health Aide Initial Application, is issued by the California Department of Public Health's Licensing and Certification Program. This form is the required starting point for any individual seeking CNA or HHA certification in California.
Applicants must use the CDPH 283B to provide personal information, disclose criminal history, and verify completion of an approved training program. The form also initiates the criminal record clearance process through Live Scan fingerprinting. California accepts applications through three pathways: direct enrollment in an approved training program, equivalency for those with prior medical training, and reciprocity for certified individuals relocating from another state.
Once submitted to the California Department of Public Health, applicants are notified of their eligibility status. Certification is valid for two years and must be renewed through continuing education requirements.
| Question | Answer |
|---|---|
| Form Name | CDPH 283B - CNA/HHA Initial Application |
| Issuing Agency | California Department of Public Health |
| Form Length | 2 pages |
| Who Needs It | Aspiring CNAs and Home Health Aides in California |
| Fillable? | No |
| Avg. time to fill out | 30 sec |
| Other names | cdph 283b, cdph 283 b form, cdph283b, 283b form |