CRPD 325 (PDF) – Criminal Record Filings. CDPH 512 (PDF) – Licence Renewal Affidavit for Nursing Home Managers. . CRPD 276 P (PDF) – Instructions for the development and implementation of policies and procedures by applicants to the Nurse Assistant Training Program. CRPD 931 (PDF) – Verification of current nursing assistant certification CDPH 929 (PDF) – Application for change of name/address and/or duplicate certificate for CNA/HHA/CHT certificate CRPD 391 (PDF) – Hemodialysis Technique/Nursing Technician Application. . CDPH 272 (PDF) – Elective Percutaneous Coronary Intervention (PCI) Program Application CDPH 414 (PDF) – Application for Health Facility/Agency Change of Location. . . .