Prior to DODD Medication Administration Certification, initial or renewal, developmental disabilities personnel must submit a completed  page 1 of the application (page 2 will be completed in class). The application must be filled in completely, including DODD provider number, employer information, and have the required signature. 

This form also verifies the person attending class is employed by the agency or under the DODD number provided, the person is 18 years of age, has provided proof of education requirements and has passed all necessary background checks.

Developmental disabilities personnel with incomplete applications are not eligible to attend DODD Medication Administration Certification training.