WSHIMA Certification Exam Fee Reimbursement

WSHIMA Certification Exam Fee Reimbursement

Personal Information

Please complete the following demographic information:
Name
Name

Educational Information

Required Documentation

Scan and upload the following documentation.
Maximum upload size: 268.44MB
Maximum upload size: 268.44MB

Acknowledgment

By signing my name in the following signature field, I certify that the information submitted with this application is accurate and I authorize WSHIMA to validate its accuracy. I consent to having my name posted on the WSHIMA website announcing the winners of the blind draw.