Homepage Blank California Rehs 02 PDF Form
Article Guide

The California Rehs 02 form serves as a vital tool for Registered Environmental Health Specialists (REHS) to verify their ongoing education requirements. To maintain their credentials, REHS professionals must complete 24 contact hours of continuing education. This form is essential for documenting those hours and ensuring compliance with state regulations. When filling out the Rehs 02, individuals must provide detailed information about the courses they have completed, including the title, provider, and total hours earned. It is important to note that original certificates or copies should not be submitted unless specifically requested. Instead, the form acts as a declaration that the individual has completed the necessary coursework, with the understanding that they must keep their certificates for five years. A signature at the bottom of the form certifies the accuracy of the reported education. Once completed, the form should be sent along with the renewal application and payment to the California Department of Public Health. This process not only helps maintain professional standards but also ensures that environmental health specialists are equipped with the latest knowledge and skills in their field.

Document Preview

State of California Health and Human Services Agency

California Department of Public Health

REGISTERED ENVIRONMENTAL HEALTH SPECIALIST - Continuing Education Verification Form

INSTRUCTIONS: Complete section below to verify completion of 24 contact hours of Registered Environmental Health Specialist (REHS) continuing education. If necessary continue on a separate sheet of paper.

DO NOT SEND ORIGINAL CERTIFICATES OR COPIES UNLESS INSTRUCTED BY THIS OFFICE. Copies of your certificates will be required to document course completion by the Environmental Health Specialist (EHS) Registration Program during the audit process. If you are selected for an audit, you will be notified by email. You must sign the signature line at the bottom of this form to certify the authenticity of your reported continuing education courses.

Send this completed form along with your renewal application and payment to:

 

California Department of Public Health

Name: ______________________________________________________

EHS Registration Program MS 7404

 

PO Box 997377

REHS #: _________________________

Sacramento, California 95899-7377

 

Date of

Course

Contact Hours

Received

Course Title

Recognized Provider/

Instructor

Accreditation Agency

Location

TOTAL HOURS =

I certify that I have taken the courses listed above and will have certificates in my possession to verify successful completion of the continuing education courses listed. I understand that I am responsible for maintaining these legal documents for five years.

 

Signature ___________________________________________________________________

 

 

 

Date ___________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR EHS REGISTRATION PROGRAM USE ONLY:

 

 

REHS CE Hours Complete

 

 

 

Need Further Review

 

 

 

Selected for Random Audit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REHS 02 (6/12)

Form Specifications

Fact Name Description
Governing Law The California Rehs 02 form is governed by California Health and Safety Code Section 106600.
Purpose This form verifies completion of 24 contact hours of continuing education for Registered Environmental Health Specialists.
Submission Requirements Do not send original certificates or copies unless instructed by the California Department of Public Health.
Audit Notification If selected for an audit, the applicant will be notified via email.
Signature Requirement The applicant must sign the form to certify the authenticity of the reported courses.
Record Keeping Applicants must maintain certificates for five years as proof of course completion.
Mailing Address Completed forms should be sent to the California Department of Public Health, EHS Registration Program, Sacramento.
Course Details Applicants must provide the date, contact hours, course title, provider, and location on the form.
Form Version The current version of the form is REHS 02, last updated in June 2012.
Use of Form This form is used exclusively for the renewal of Registered Environmental Health Specialist licenses.

California Rehs 02: Usage Guidelines

Completing the California Rehs 02 form is a straightforward process that requires careful attention to detail. This form is essential for verifying the completion of required continuing education hours for Registered Environmental Health Specialists. After filling out the form, it must be submitted along with your renewal application and payment to the California Department of Public Health.

  1. Begin by entering your full name in the designated space at the top of the form.
  2. Fill in your REHS number in the appropriate field.
  3. List the date of each course you completed in the "Date of Course" section.
  4. Indicate the number of contact hours received for each course in the "Contact Hours" field.
  5. Provide the title of each course in the "Course Title" section.
  6. Identify the recognized provider or instructor for each course in the corresponding field.
  7. Include the name of the accreditation agency in the designated area.
  8. Specify the location where the course was held.
  9. Calculate the total hours of continuing education completed and write this number in the "TOTAL HOURS" field.
  10. Sign the form in the signature line to certify the authenticity of the reported courses.
  11. Date your signature in the space provided below the signature line.
  12. Ensure that you keep copies of your certificates for your records, as they may be required during an audit.
  13. Submit the completed form along with your renewal application and payment to the address provided at the bottom of the form.

Your Questions, Answered

What is the purpose of the California REHS 02 form?

The California REHS 02 form serves as a verification tool for Registered Environmental Health Specialists (REHS) to document their completion of required continuing education hours. Specifically, it confirms that the individual has completed 24 contact hours of continuing education, which is essential for maintaining their professional registration. This form must be submitted alongside the renewal application and payment to the California Department of Public Health.

What information do I need to provide on the REHS 02 form?

When filling out the REHS 02 form, you will need to include several key pieces of information. This includes your name, REHS number, the date of each course taken, the total contact hours received, the course titles, the recognized providers or instructors, and the accreditation agencies. Additionally, you must certify that you have completed the courses listed and that you will keep the certificates for verification purposes.

What should I do if I am selected for an audit?

If you are selected for an audit, you will be notified via email. During this process, you must provide copies of your continuing education certificates to verify your course completion. It is important to keep these documents for at least five years, as you may be asked to present them during an audit. Being organized and maintaining these records can help ensure a smooth audit process.

Can I submit original certificates with the REHS 02 form?

No, you should not send original certificates or copies unless specifically instructed by the California Department of Public Health. The REHS 02 form itself is designed to verify your continuing education hours, and the actual certificates are only required if you are selected for an audit. Keeping your certificates safe and accessible is crucial for this purpose.

How long do I need to keep my continuing education certificates?

You are responsible for maintaining your continuing education certificates for a minimum of five years. This retention period is important because it aligns with the audit process, ensuring that you can provide proof of your completed courses if requested. Keeping these documents organized will help you stay compliant with the requirements of the Environmental Health Specialist Registration Program.

Common mistakes

  1. Neglecting to Sign the Form: One common mistake is failing to sign the signature line at the bottom of the form. Without a signature, the submission may be considered incomplete.

  2. Omitting Required Information: Some individuals forget to fill in essential details, such as their name, REHS number, or the total contact hours completed. Missing this information can lead to delays in processing.

  3. Not Keeping Copies of Certificates: It is crucial to retain copies of all certificates for the courses completed. If selected for an audit, individuals must provide these documents. Failing to keep them can result in issues during the verification process.

  4. Incorrectly Calculating Total Hours: Another frequent error involves miscalculating the total contact hours. Double-checking the hours for each course ensures accuracy and compliance with the requirements.

  5. Ignoring Submission Guidelines: Some people overlook the instructions regarding submission. It's important to send the completed form along with the renewal application and payment, following the specified mailing address.

Documents used along the form

The California REHS 02 form is essential for Registered Environmental Health Specialists (REHS) to verify their continuing education. Several other documents often accompany this form to ensure compliance with the requirements of the Environmental Health Specialist Registration Program. Below are some commonly used forms and documents.

  • Renewal Application: This document is submitted alongside the REHS 02 form. It includes personal information and confirms the applicant's intent to renew their registration as an Environmental Health Specialist.
  • Continuing Education Certificates: These certificates serve as proof of course completion. They must be maintained by the applicant and may be requested during an audit.
  • Payment Receipt: This document verifies that the renewal fee has been paid. It is crucial to include it with the renewal application to avoid processing delays.
  • Audit Notification: If selected for an audit, this notification will be sent via email. It outlines the requirements and next steps for the audit process.
  • Course Descriptions: These documents provide detailed information about the courses taken, including objectives and learning outcomes. They may be required during an audit to validate course relevance.
  • Professional Development Plan: This optional document outlines the individual's goals for continuing education. It can help in selecting relevant courses for future compliance.

In summary, these documents work together with the California REHS 02 form to ensure that Registered Environmental Health Specialists meet their continuing education requirements. Proper documentation is essential for maintaining compliance and facilitating the renewal process.

Similar forms

The California REHS 02 form serves as a verification tool for continuing education in the environmental health field. Several other documents share similar purposes or functions. Below are five such documents:

  • CEU Verification Form: This form is used to confirm completion of Continuing Education Units (CEUs) for various professional licenses. Like the REHS 02, it requires details about the courses taken and the total hours completed.
  • Professional Development Log: This log tracks ongoing professional development activities. It is similar in that it requires documentation of courses and hours, ensuring that professionals meet their educational requirements.
  • Renewal Application for Licensure: This application is submitted for license renewal and often includes a section for documenting continuing education. Both forms require signatures to certify the accuracy of the information provided.
  • Audit Documentation Form: This form is utilized when a professional is selected for an audit of their continuing education. It requests detailed information about courses completed, similar to the REHS 02 form's requirements for course verification.
  • Certificate of Completion: This document is issued by course providers to confirm that an individual has completed a specific course. It serves as proof of education, much like the certificates referenced in the REHS 02 form.

Dos and Don'ts

When filling out the California REHS 02 form, it is important to follow certain guidelines to ensure the process goes smoothly. Below is a list of actions to take and avoid.

  • Do ensure that you have completed at least 24 contact hours of continuing education before filling out the form.
  • Do sign the signature line at the bottom of the form to certify the authenticity of your reported courses.
  • Do keep copies of your certificates for your records, as they may be required during an audit.
  • Do send the completed form along with your renewal application and payment to the specified address.
  • Don't send original certificates or copies unless instructed by the California Department of Public Health.
  • Don't forget to include your REHS number and personal information in the designated sections of the form.
  • Don't leave any sections of the form blank; complete all required fields accurately.
  • Don't submit the form without reviewing it for errors or omissions.

Misconceptions

Misconceptions about the California REHS 02 form can lead to confusion among Registered Environmental Health Specialists. Here are eight common misunderstandings:

  • Original certificates must be submitted. Many believe that they need to send original certificates with the REHS 02 form. In fact, the instructions specify not to send originals unless directed.
  • Only certain courses count towards continuing education. Some think that only specific courses are recognized. However, any course that meets the criteria set by the California Department of Public Health can be counted, provided it is from a recognized provider.
  • The form is optional for renewal. There is a misconception that submitting the REHS 02 form is optional. In reality, it is a required part of the renewal application process for continuing education verification.
  • Audits are random and infrequent. Many assume that audits are rare. While they may not happen to everyone, the potential for being selected for an audit is a standard part of the process, and all registrants should be prepared.
  • Signature is not important. Some individuals might overlook the signature requirement. Signing the form is crucial as it certifies the authenticity of the reported continuing education courses.
  • There is no need to keep certificates after submission. A common belief is that once the form is submitted, the certificates can be discarded. In fact, individuals are responsible for maintaining these documents for five years.
  • Contact hours can be rounded. Some think they can round up their contact hours. However, the total hours must be accurately reported as they were completed, without rounding.
  • Any provider can be listed. There is a misconception that any provider can be listed on the form. Only courses from recognized providers or instructors approved by the California Department of Public Health are valid.

Understanding these misconceptions can help ensure a smoother renewal process for Registered Environmental Health Specialists in California.

Key takeaways

When filling out and using the California REHS 02 form, keep the following key points in mind:

  • Complete the Form Accurately: Ensure that all sections of the form are filled out completely. Missing information can delay the processing of your renewal application.
  • Document Your Hours: You need to verify completion of 24 contact hours of continuing education. Be diligent in recording the hours accurately.
  • Keep Certificates Safe: While you do not need to send original certificates, keep copies of them. They are essential for verification during an audit.
  • Understand the Audit Process: If selected for an audit, you will receive an email notification. Be prepared to provide documentation of your continuing education courses.
  • Sign the Form: Your signature at the bottom certifies that the information provided is authentic. This step is crucial for the validity of your submission.
  • Maintain Records: You are responsible for keeping your certificates for five years. This is important in case of future audits.
  • Submit with Application: Send the completed form along with your renewal application and payment to the specified address to ensure timely processing.

By following these guidelines, you can navigate the renewal process smoothly and ensure compliance with the requirements set by the California Department of Public Health.