D&S Diversified Technologies LLP Business Entities providing Testing Services Innovative, quality technology solutions
throughout the United States
since 1985.
D&S Diversified Technologies LLP - Headmaster LLP
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 NA Testing KTP State Training Guide Standards Required NA Testing Actor State Training Guide Standards Required NA Testing RN Test Observer State Training Guide Standards 1500IC Generic RN Observer Application, Resume - Fill Online and Submit 1501IC Confidentiality/Nondisclosure Agreement Form 1511IC Actor/Knowledge Test Proctor Training Affidavit IRS Form W9
Request For Taxpayer Information




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INSTRUCTIONS CLICK HERE -- Process to become a Business Entity providing Test Administration Services




New Test Observer Requirements (effective 1/1/22)
Overview Presentation

New Test Observer Requirements (effective 1/1/22)
Overview Presentation

NA Testing Services Agreement for
AR-CA-MI-MN-MO-MT-OH-OK-OR-TN

NA Testing Services Agreement Form 1505IC Use for NA Testing in
AR, CA, MI, MN, MO, MT, OH, OK, OR, TN
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 NA Testing Services Agreement
1505IC- AZ - Arizona

NA Testing Services Agreement Form 1505IC-AZ Use for NA Testing in
AZ
Fill online and SUBMIT

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

MAP Testing Services Agreement
1505IC-MA Massachusetts

MAP Testing Services Agreement Form 1505IC-MA Use for MAP Testing in
MA
Fill online and SUBMIT

Montana MA Testing Services Agreement
1505IC-MT-MA I&II Montana

Montana MA Testing Services Agreement Form 1505IC-MA - MT I&II Use for MA I&II Testing in
MT
Fill online and SUBMIT

Nevada NA Testing Services Agreement
1505IC- NV - Nevada

NA Testing Services Agreement Form 1505IC-NV Use for NA Testing in
NV
Fill online and SUBMIT

Nevada MA Testing Services Agreement
1505IC-NV-MA Nevada

MA Testing Services Agreement Form 1505IC-NV - MA Use for MA Testing in
NV
Fill online and SUBMIT

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 MA Testing Services Agreement
1505IC-OK-MA & Insulin Injection Oklahoma

MA Testing Services Agreement Form 1505IC- OK - MA Use for MA and Insulin Injection Testing in
OK
Fill online and SUBMIT

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 NA Testing Services Agreement
1505IC- WI - Wisconsin

NA Testing Services Agreement Form 1505IC- WI Use for NA Testing in
WI
Fill online and SUBMIT


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
hdmaster@hdmaster.com