Worker Training - Choices Attestation NameName(Required) First Last EmailEmail(Required) BirthdayBirthday(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Last Four Digits of Social Security NumberLast Four Digits of Social Security Number(Required) CDTN Person IDCDTN Person ID(Required) Need help finding your CDTN Person ID?Signature By signing, I attest that this training was completed solely by me. Signature(Required)By submitting your information via this form, you agree to be contacted by CDCN via call, email, or text. To opt out, you can reply ‘stop’ at any time or click the unsubscribe link in the emails. For more information see our privacy policy. Message and data rates may apply. Consumer Direct Care Network Privacy Policy CAPTCHA