D&S - Test Administration Business Entities

Use the forms provided below to apply for and request certification to provide testing services for various testing disciplines

Test Administration Services	Test Administration Services	Test Administration Services	Contacts
Attachment A Forms Required Testing KTP State Training Guide Standards NA Required Testing Actor State Training Guide Standards MA-C/CMA Required Testing Actor State Training Guide Standards TASE NURSE AIDE TESTING INFORMATION GUIDE TASE-RN TEST OBSERVER NAVIGATING TMU INSTRUCTIONS IRS Form W9 Request For Taxpayer Information Direct Deposit Form You will need a reader to view and print some documents. You may download it here...	Resources for Forming a Business Entity Click Here Testing Administration Services (TASE) Agreement Form Testing Administration Services (TASE) Agreement Form 1505 For NA testing in AR, CA, MO, MS, OH, TN, and WY Testing Administration Services Agreement (TASE) Agreement Form 1505 For NA testing in MR, OK (Fill online and submit.) Arkansas MA Testing Services Agreement 1505IC-AR-MA Arkansas MA Testing Services Agreement Form 1505IC-AR-MA Use for MA Testing in AR Fill online and SUBMIT Arizona Testing Administration Services (TASE) Agreement Form 1505AZ Arizona Testing Administration Services (TASE) Agreement Form 1505AZ (For Nurse Aide testing in Arizona) Arizona Caregiver Testing Services Agreement 1505IC-AZ-Caregiver Arizona Caregiver Testing Services Agreement Form 1505IC-AZ-Caregiver Use for Caregiver Testing in AZ Fill online and SUBMIT Arizona LPN/RN Refresher Testing Services Agreement 1505IC-AZ-LPN/RN Refresher Arizona LPN-RN Refresher Testing Services Agreement Form 1505IC-AZ-LPN-RN Refresher Use for LPN-RN Refresher Testing in AZ Fill online and SUBMIT Arizona Manager Testing Services Agreement 1505IC-AZ-Manager Arizona Manager Testing Services Agreement Form 1505IC-AZ-Manager Use for Manager Testing in AZ Fill online and SUBMIT Arizona MA Testing Services Agreement 1505IC-AZ-MA Arizona MA Testing Services Agreement Form 1505IC-AZ-MA Use for MA Testing in AZ Fill online and SUBMIT Idaho Facility Manager Testing Services Agreement 1505IC-ID-Facility Manager Idaho Facility Manager Testing Services Agreement Form 1505IC-ID-Facility Manager Use for Facility Manager Testing in ID Fill online and SUBMIT Idaho MA-C Testing Services Agreement 1505IC-ID-MA Idaho MA Testing Services Agreement Form 1505IC-ID-MA Use for MA-C Testing in ID Fill online and SUBMIT	Massachusetts Testing Administration Services (TASE) Agreement Form 1505MA-NA Massachusetts Testing Administration Services (TASE) Agreement Form 1505MA-NA (For Nurse Aide testing in Massachusetts.) MN NA Testing Services Agreement 1505IC-MN Minnesota Minnesota NA Testing Services Agreement Form 1505IC-MN Use for NA Testing in MN Fill online and SUBMIT Michigan Testing Administration Services (TASE) Agreement Form 1505MI-MA Michigan Testing Administration Services (TASE) Agreement Form 1505MI-MA (For Medication Aide testing in Michigan) Montana Testing Administration Services (TASE) Agreement Form 1505MT-NA Montana Testing Administration Services (TASE) Agreement Form 1505MT-NA (For Nurse Aide testing in Montana.) Ohio MA Testing Services Agreement 1505IC-OH-MA Ohio MA Testing Services Agreement Form 1505IC-OH - MA Use for MA Testing in OH Fill online and SUBMIT Ohio Lead Testing Services Agreement 1505IC-OH-Lead Ohio LEAD Testing Services Agreement Form 1505IC-OH - Lead Use for Lead Testing in OH Fill online and SUBMIT Ohio Xray Technician Testing Services Agreement 1505IC-OH-Xray Ohio X-ray Testing Services Agreement Form 1505IC-OH - GXMO Use for X-Ray Testing in OH Fill online and SUBMIT Oklahoma Medication Aide/MA-Insulin Administration Testing Administration Services (TASE) AGREEMENT FORM 1505OK MA/MA-IA Oklahoma Testing Administration Services (TASE) Agreement Form 1501OK MA/MA-IA (For Medication Aide and MA-Insulin Administration testing in Oklahoma) Oregon Testing Administration Services (TASE) Agreement Form 1505OR Oregon Testing Administration Services (TASE) Agreement Form 1505OR (For Nurse Aide testing in Oregon) Oregon MA Testing Services Agreement 1505IC-OR-MA Oregon MA Testing Services Agreement Form 1505IC- OR - MA Use for MA Testing in OR Fill online and SUBMIT Tennessee MA Testing Services Agreement 1505IC-TN-MA Tennessee MA Testing Services Agreement Form 1505IC- TN - MA Use for MA Testing in TN Fill online and SUBMIT Wisconsin Testing Administration Services (TASE) Agreement Form 1505WI Wisconsin Testing Administration Services (TASE) Agreement Form 1505WI (For Nurse Aide testing in Wisconsin.)	Please feel free to contact us if you have questions, concerns, or suggestions about our service. We value the feedback we receive from everyone involved in the testing and certification process. D&S Diversified Technologies - HEADMASTER PO Box 6609 Helena, MT 59604 Testing Toll Free Phone: 888-401-0462 Fax: 406-442-3357 [email protected]

	D&S Diversified Technologies LLP	Business Entities providing Testing Services	Innovative, quality technology solutions throughout the United States since 1985.
	Headmaster LLP