The recertification period is: April 1, 2017 through November 30, 2017.
We recommend using Chrome or Mozilla/Firefox as your web browser when completing this recertification. You may encounter problems if you use Internet Explorer (ie).
To save this form as you work on it, you need to register before starting. Be aware that the registration period is only for a certain amount of time. When you register it will tell you exactly when that registration period is complete.
Please take the time to read through the INSTRUCTIONS before completing the recertification. Also, in many instances, there are examples or directions on how to complete the field underneath the question.
Any question that has an asterisk (*) is a required field.
If you have any other questions, please contact Laurelee Dever at 518-782-7332.