MTPHTC Training Claim Form Name(Required) First Last Credentials Email Address(Required) This is where your certificate will be sentWhat date did you complete the training?(Required) Month Day Year Which date did you complete the training?(Required) May 16, 2024 May 17, 2024 May 20, 2024 May 21, 2024 May 22, 2024 May 23, 2024 Professional AttestationI attest to attending this session in its entirety(Required) Yes No