Licensure Details

In the list, there's some information relating to the form cdph 501. It is a good idea that you read this information before you decide to begin working with the file.

QuestionAnswer
Form NameForm Cdph 501
Form Length4 pages
Fillable?Yes
Fillable fields321
Avg. time to fill out32 min 38 sec
Other namesNHAP, Copes, AIT, cdph 501 fillable form

How to Edit Form Cdph 501

We have applied the endeavours of the best developers to make the PDF editor you can use. Our application allows you to complete the ensures form easily and don’t waste precious time. What you need to undertake is follow these quick instructions.

Step 1: On the following website page, choose the orange "Get form now" button.

Step 2: At this point, you may edit the ensures. This multifunctional toolbar helps you include, erase, change, highlight, and also carry out many other commands to the words and phrases and areas within the document.

Feel free to enter the next details to complete the ensures PDF:

example of fields in Copes

Complete the Do you, Yes, If "no", Preceptor's Signature, Date, AIT's Signature, AIT #, Date, SECOND QUARTER - Total AIT, Start Date:, End Date:, Actual hours per week of, PROGRAM CHANGE(S) THIS QUARTER, Supporting documentation attached, and How would you rate the AIT's areas with any content which may be required by the program.

Filling out Copes step 2

In the THIRD QUARTER - Total AIT training, Start Date:, End Date:, Actual hours per week of, PROGRAM CHANGE(S) THIS QUARTER, AIT Name (Print):, Supporting documentation attached, How would you rate the AIT's, Excellent, Good, Fair, Poor, How many hours did you personally, Did anyone else assist the AIT, and Please list the training topics part, emphasize the important details.

Entering details in Copes step 3

Identify the rights and responsibilities of the parties within the paragraph Preceptor's Signature, Date, AIT's Signature, Date, FOURTH QUARTER - Total AIT, Start Date, End Date, PROGRAM CHANGE(S) THIS QUARTER, Actual hours per week of, Supporting documentation attached, How would you rate the AIT's, Excellent, Good, Fair, and Poor.

Copes Preceptor

End by looking at all these sections and completing them correspondingly: Yes, ADDITIONAL COMMENTS (Use, This quarterly report has been, Preceptor Signature, CDPH 501 (02/12), Date, AIT's Signature, Date, and Page 2 of 4.

Completing Copes step 5

Step 3: Click the button "Done". The PDF document can be exported. You may obtain it to your computer or send it by email.

Step 4: To avoid possible future complications, be sure you hold at the very least a few copies of every single form.

Form Cdph 501
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