access washington home · web view06/30/2017 11:49:00 last modified by blanchette, sarah company...
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![Page 1: Access Washington Home · Web view06/30/2017 11:49:00 Last modified by Blanchette, Sarah Company DSHS](https://reader033.vdocuments.mx/reader033/viewer/2022060906/60a0ff7e87810929d61dcdb5/html5/thumbnails/1.jpg)
Revised 3/2017 Training Program Number:
Training Program Name:
Print Name:
MUST be DDA Approved Agency Instructor
Date Signature of DSHS approved instructor
for successfully completing
ONLINE Orientation and Safety Hours of DSHS approved 5
THIS CERTIFICATE IS PRESENTED TO