Department of the Air Force E Publishing Publications Forms AF, The official website for Air Force e Publishing Official websites use mil A mil website belongs to an official U S Department of Defense organization in the United States . span class result type PDF span Af Form 1540a 20040819 V1, AF FORM 1540A 20040819 V1 PREVIOUS EDITION IS OBSOLETE PAGE 1 OF 3 PAGES AUTHORITY Title 10 U S C Chapter 55 Sections 1094 and 1102 IT WAS APPROVED ACCORDING TO AIR FORCE POLICY Active Duty and Civil Service only I acknowledge that I am familiar with the principles and
.Af Form 1540
Af Form 1540
Department of the Air Force E Publishing Publications Forms AF
The official website for Air Force e Publishing Official websites use mil A mil website belongs to an official U S Department of Defense organization in the United States .
span class result type PDF span How to complete AF 1540 form
Hello Air Force recruiter Please see the mock AF Form 1540 attached to this memo for an example of how the AF Form 1540 must be completed by your applicant We want to emphasize all information on the AF Form 1540 is either entered into the provider s CCQAS record or assists in verifying their credentials as quickly as possible .
https://www.airforcemedicine.af.mil/Organizations/Credentials-Verification-Office/Forms/
Currently AF Form 1540 Time gaps of 30 days or more between periods of training education or employment must be explained in the Remarks section A statement must be made to document the activities and location of the provider during the period to include vacation relocation activities etc
https://www.e-publishing.af.mil/Product-Index/
The official website for Air Force e Publishing Official websites use mil A mil website belongs to an official U S Department of Defense organization in the United States
span class result type PDF span APPLICATION FOR CLINICAL PRIVILEGES apply afreserve
AF FORM 1540 20040819 EF V1 PREVIOUS EDITION IS OBSOLETE PAGE 1 OF 4 PAGES APPLICATION FOR CLINICAL PRIVILEGES MEDICAL STAFF APPOINTMENT Continued IV PRESENT AND PREVIOUS MILITARY AND CIVILIAN ASSIGNMENTS Continued If additional space is needed continue in Remarks Page 4 NAME OF MEDICAL TREATMENT .
AF Form 1540 Application for Clinical Privileges Medical Staff
An example scenario for using AF Form 1540 is when a medical doctor or other healthcare provider applies for clinical privileges or a medical staff appointment within an Air Force medical facility This form helps evaluate the qualifications and suitability of applicants ensuring that only qualified individuals are granted clinical privileges .
Air Force Centralized Credentials Verification Office AF
Currently AF Form 1540 Time gaps of 30 days or more between periods of training education or employment must be explained in the Remarks section A statement must be made to document the activities and location of the provider during the period to include vacation relocation activities etc .
Other Allied Health Professional AF
Currently AF Form 1540 Time gaps of 30 days or more between periods of training education or employment must be explained in the Remarks section A statement must be made to document the activities and location of the provider during the period to include vacation relocation activities etc .
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