Florida Department of State and Division of Library and Information Services

Reference: Ref-06986

Reference Name: AHCA Form 3130-1016, May 2016, Verification of Practical Experience
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Modified Document(s): No Modified document(s).
Adopted Document(s):
6/8/2016 Form used to verify experience to qualify for initial licensure as a health care risk manager.
Proposed Document(s):
5/25/2016 Form used to verify experience to qualify for initial licensure as a health care risk manager.
Description: Form used to verify experience to qualify for initial licensure as a health care risk manager.

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Final
59A-10.036 		Qualification by Practical Experience 17784385 Effective:
08/02/2016
View Text Change
59A-10.002
...... 		Definitions, Qualification by Practical Experience, Educational Programs 17597854 6/2/2016
Vol. 42/107



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