Get American Medical Technologies

This guide provides comprehensive instructions for filling out the American Medical Technologies Certification Continuation Program compliance evaluation worksheet and attestation form online. Follow these steps to ensure accurate and complete submission.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by filling in your last name, first name, and initial, followed by your AMT ID number in the designated fields.
3. Input your full address, including city, state, zip code, and country. Ensure all entries are accurate to avoid any delays.
4. Enter your email address and daytime phone number for communication regarding your submission.
5. Select the certification for which you are submitting this form by checking only one box from the provided options.
6. Report your points according to the relevant competencies related to your certification by completing all required sections (A to F), documenting your professional education, employer verification, authorship, instructional presentations, and organizational participation.
7. Calculate your total points earned for the three-year compliance interval by adding all points accrued in each section.
8. Review the attestation of compliance statement, affirming the information provided is accurate and complete, and understanding the implications of misrepresentation, including audit requirements.
9. Sign and date the form to attest your understanding of the requirements and obligations associated with your certification.
10. Once completed, save your changes. You can download, print, or share the form via fax, email, or postal mail as instructed.

Complete your documents online today to maintain your certification compliance.