Forms and Instructions

Forms 

Required for Candidate Application and Exam Pathway
Employment Verification Form

Required for Grandfathering Program Application Pathway
Professional Recommendation Form

Additional Forms
Name Change Form
Special Accommodations Request Form

Complaint Form
Appeals Form
Education/Experience Waiver Request Form

Having trouble saving fillable PDF forms?
  • Click the link to open the form you need
  • Select ‘Save as’ and save the form to your computer before filling it out
  • Open the Form in a PDF Reader (e.g. Adobe Acrobat) Note- Make sure the form doesn’t open back up in your web browser.
  • Complete the fillable form and resave
Note-all documentation and forms uploaded into the Certification Management System with the CHIAP™ Certification Application must be in PDF format. 

Instructional Documents – Application Process

Step-by-step instructions on the CMS online application system
Step-by-step instructions for the Grandfathering Pathway in the CMS online application System
Application Checklist
 

Frequently Asked Questions
FAQ

Questions?
If you have any questions or concerns, feel free to contact us at certification@ahia.org.
 
Before You Apply Pending Applicants      CHIAP™ Certificants
Candidate Handbook Exam Preparation Recertification Process
Application Process   My CHIAP™ Profile
Grandfathering Program