First Name / 名: (required 必填)

Last Name / 姓: (required 必填)

Aide Code / 護理編號: (required 必填)

I acknowledge that I have completed EVV training session provided by Golden Touch Home Health LLC on the date signed below. This session included training on the federal and state laws and regulations regarding EVV. I understand the policies and procedures specific to my job duties.

By signing this EVV acknowledgment form, I am confirming that I have received and understand the EVV Education training session and I agree to follow the policies and procedures on EVV.

本人確認我已在簽名日期當天完成了萬有護理公司提供的電子打鐘培訓課程。該課程包括联邦和州的法律法规要求的電子打鐘培訓。我明確了解特定對於我的工作職責的相關政策和程序。

通過簽署此電子打鐘培訓確認書, 我確認已收到並理解電子打鐘教育培訓課程，並且同意遵守電 子打鐘的政策和程序。。
Signature / 簽名: (required 必填)