932 2020-2025 Form

What is the 932 form?

The 932 form, also known as the CDPH 932 form, is a critical document used in the healthcare sector, particularly for nursing home administrators in California. This form is essential for those seeking certification or licensure as a nursing home administrator, ensuring compliance with state regulations. It collects vital information about the applicant's qualifications, experience, and background, which are necessary for the evaluation process by the California Department of Public Health (CDPH).

Steps to complete the 932 form

Completing the 932 form requires careful attention to detail to ensure all information is accurate and complete. Here are the steps to follow:

• Gather necessary documents: Collect all required documentation, such as proof of education, work experience, and any relevant certifications.
• Fill out personal information: Enter your full name, contact details, and other identifying information as requested on the form.
• Detail your qualifications: Clearly outline your educational background and professional experience in the healthcare field.
• Review for accuracy: Double-check all entries for completeness and correctness before submission.
• Submit the form: Follow the specific submission guidelines provided by the CDPH, which may include online submission or mailing the form.

Legal use of the 932 form

The 932 form serves a legal purpose in the certification process for nursing home administrators. It must be filled out accurately and submitted in accordance with California state laws. This ensures that only qualified individuals are licensed to manage nursing facilities, thus protecting the health and safety of residents. Furthermore, the form must comply with eSignature laws, ensuring that electronic submissions are legally binding and secure.

Key elements of the 932 form

Understanding the key elements of the 932 form is essential for successful completion. The form typically includes:

• Personal Information: Name, address, and contact details of the applicant.
• Educational Background: Details of degrees earned, institutions attended, and dates of attendance.
• Work Experience: A comprehensive list of previous positions held in healthcare settings, including dates and responsibilities.
• References: Contact information for professional references who can vouch for your qualifications and experience.

Form Submission Methods

The 932 form can be submitted through various methods to accommodate applicants. The primary submission methods include:

• Online Submission: Many applicants opt to fill out and submit the form electronically through the CDPH website, which streamlines the process.
• Mail: Applicants can print the completed form and send it via postal service to the designated CDPH office.
• In-Person Submission: Some may choose to deliver the form directly to a CDPH office, allowing for immediate confirmation of receipt.

Eligibility Criteria

To successfully complete the 932 form, applicants must meet specific eligibility criteria set by the CDPH. These typically include:

• Completion of an accredited educational program in healthcare administration or a related field.
• Relevant work experience in a healthcare setting, particularly in long-term care facilities.
• Compliance with any additional state-specific requirements, such as background checks or continuing education.

Application Process & Approval Time

The application process for the 932 form involves several steps, including submission, review, and approval. After submitting the form, applicants can expect the following:

• Review Period: The CDPH will review the submitted form and supporting documents to verify qualifications.
• Approval Time: The approval process may take several weeks, depending on the volume of applications and completeness of submitted information.
• Notification: Applicants will receive notification of their application status, including any additional steps needed for approval.