Complete this form for new client accounts or district compliance requirement changes for an existing client account.
District-specific compliance requirements are defined by the district over and above the state compliance requirements. For example: District-specific fingerprinting requirements, training, district forms, medical items (TB test, vaccinations, physical exams).
As a reminder, this form should not include state compliance requirements. State checklist items are defined by the State’s Department of Health (DOH) or Department of Education (DOE) compliance requirements that apply to the specialty or discipline’s credential requirements such as certifications or licensure.
To access the form, click the link below: