Form 1.9APP Epinephrine Certification Application - California

Form 1.9APP Epinephrine Certification Application - California

What Is Form 1.9APP?

This is a legal form that was released by the California Emergency Medical Services Authority - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form 1.9APP?
A: The Form 1.9APP is the Epinephrine Certification Application.

Q: What is the purpose of the Form 1.9APP?
A: The purpose of the Form 1.9APP is to apply for certification to possess and administer epinephrine in California.

Q: Who needs to fill out the Form 1.9APP?
A: Anyone who wishes to possess and administer epinephrine in California needs to fill out the Form 1.9APP.

Q: What information is required on the Form 1.9APP?
A: The Form 1.9APP requires information such as your personal details, training information, and the school or organization where you will administer epinephrine.

Q: Is there a fee for submitting the Form 1.9APP?
A: No, there is no fee for submitting the Form 1.9APP.

Q: How long is the certification valid for?
A: The certification is valid for two years.

Q: What do I do with the completed Form 1.9APP?
A: You must submit the completed Form 1.9APP to the California Department of Public Health for processing.

Q: Can I possess and administer epinephrine without certification?
A: No, you must be certified to possess and administer epinephrine in California.

Q: Can I transfer my certification to another state?
A: No, the certification is specific to California and cannot be transferred to another state.

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Form Details:

  • Released on June 1, 2015;
  • The latest edition provided by the California Emergency Medical Services Authority;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 1.9APP by clicking the link below or browse more documents and templates provided by the California Emergency Medical Services Authority.

Download Form 1.9APP Epinephrine Certification Application - California

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  • Form 1.9APP Epinephrine Certification Application - California, Page 1
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