Form CMS-10494 Registration Portal

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

CMS-10494 - Appendix D_Registration Portal

155.225(b)(1)(ii) - Issuance of unique registration identification number

OMB: 0938-1205

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MLMS Assister Training Profile Mock-Up

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Graphic 1- Individual Assister Information - Full Page screen-shot mock-up

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Graphic 2 - Individual Assister Information - Screen-shot mock-up with Assister Type drop down expanded

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Graphic 3 - Individual Assister Information - Screen-shot mock-up with Training Language Selection drop down expanded

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Graphic 4 - Individual Assister Information - Screen-shot mock-up with How Many Years Have You Been an Assister drop down expanded

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Graphic 5 - Individual Assister Information - Screen-shot mock-up with When Did You Last Complete Federal Assister Training drop down expanded

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Graphic 6 - Individual Assister Information - Screen-shot mock-up with Organization drop down expanded

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Graphic 7 - Individual Assister Information - Screen-shot mock-up with Organization State drop down expanded (complete list not shown)

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleMLMS Assister Training Profile Mock-Up
SubjectMLMS Assister Training Profile Mock-Up
AuthorCMS
File Modified0000-00-00
File Created2021-01-22

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