Form CMS-10494 Training Certificate

Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel -CAC (CMS-10494)

CMS-10494 - Appendix E_ SampleTraining Completion Certificate

155.225(b)(1)(i) (certificate issuance)

OMB: 0938-1205

Document [pdf]
Download: pdf | pdf
MLMS Assister Training Certificate Mock-Up

Graphic 1- Example Certificate for Assisters

Written description of Mock-up Certification example for the MLMS Assister Training.
Certificate says:
Certificate of Completion
This is to certify that
John Smith
Has successfully completed the following:
Marketplace Assister Training
On
02/17/2015
Authorized Signature


File Typeapplication/pdf
AuthorShannon Holdenried
File Modified2015-04-03
File Created2015-04-03

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