A listing of students who have completed a CAOHC approved 20-hour
certification course OR 8-hour recertification course. Course
Directors: Please submit this form to CAOHC within 60 days
of course completion. List only those who have successfully completed
the course. You may fax this form to 414/276-2146 or mail to:
CAOHC, 555 E. Wells Street, Suite 1100, Milwaukee, WI 53202-3823.
you are submitting a student roster on your own form, or via electronic
transmission, please include mailing address of student AND of