Embedded Files
Our database system relies on (2) specific criteria to properly post your evaluation in the system. If either of these two criteria are incorrect the evaluation will not post, and it may subsequently delay the student receiving their certification cards.
When completing the electronic evaluation forms below you MUST be sure to:
1) Use the correct electronic evaluation form link below based on which course the student took.
2) The student's email address must be the EXACT email the student used to log into the system to take the class.
Note: You will also need the Student's OCCRRA OPIN # , Your Centers PM Code, Your Instructor ID #
Click the appropriate link below to submit your completed skills evaluation
Click the appropriate link below to submit your completed skills evaluation
THERE ARE 2 DIFFERENT EVALUATION FORMS FOR SKILS TESTING IN:
PEDIATRIC CPR/AED
PEDIATRIC BASIC FIRST AID
PEDIATRIC CPR/AED AND BASIC FIRST AID
PICK THE CORRECT EVALUATION BASED ON THE STUDENT'S COURSE ENROLLMENT DATES
Use this form for
Use this form for
FOR ANY STUDENT WHO WAS REGISTERED FOR THE ONLINE COURSE BEFORE APRIL 15, 2026
PEDIATRIC CPR / AED
PEDIATRIC CPR / AED
SKILLS EVALUATION
SKILLS EVALUATION
For Use with Form 1001
Use this form for
Use this form for
FOR ANY STUDENT WHO WAS REGISTERED FOR THE ONLINE COURSE AFTER APRIL 15, 2026
PEDIATRIC CPR / AED
PEDIATRIC CPR / AED
SKILLS EVALUATION
SKILLS EVALUATION
For Use with Form 1001
Use this form for
Use this form for
FOR ANY STUDENT WHO WAS REGISTERED FOR THE ONLINE COURSE BEFORE APRIL 15, 2026
PEDIATRIC BASIC FIRST AID
PEDIATRIC BASIC FIRST AID
SKILLS EVALUATION
SKILLS EVALUATION
For Use with Form 1002
Use this form for
Use this form for
FOR ANY STUDENT WHO WAS REGISTERED FOR THE ONLINE COURSE AFTER APRIL 15, 2026
ADULT & PEDIATRIC BASIC FIRST AID
ADULT & PEDIATRIC BASIC FIRST AID
SKILLS EVALUATION
SKILLS EVALUATION
For Use with Form 1002
Use this form for
Use this form for
FOR ANY STUDENT WHO WAS REGISTERED FOR THE ONLINE COURSE BEFORE APRIL 15, 2026
PEDIATRIC CPR / AED & BASIC FIRST AID
PEDIATRIC CPR / AED & BASIC FIRST AID
SKILLS EVALUATION
SKILLS EVALUATION
For Use with Form 1003
Use this form for
Use this form for
PEDIATRIC CPR / AED & BASIC FIRST AID
PEDIATRIC CPR / AED & BASIC FIRST AID
SKILLS EVALUATION
SKILLS EVALUATION
For Use with Form 1003
Use this form for
Use this form for
ADULT & PEDIATRIC CPR / AED
ADULT & PEDIATRIC CPR / AED
SKILLS EVALUATION
SKILLS EVALUATION
For Use with Form 1004
Use this form for
Use this form for
ADULT & PEDIATRIC CPR / AED & BASIC FIRST AID
ADULT & PEDIATRIC CPR / AED & BASIC FIRST AID
SKILLS EVALUATION
SKILLS EVALUATION
For Use with Form 1005
Use this form for
Use this form for
ADULT CPR / AED
ADULT CPR / AED
SKILLS EVALUATION
SKILLS EVALUATION
For Use with Form 1006
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