Instructor Records Transfer Request

An AHA Instructor Records Transfer Request is a formal form used when an American Heart Association (AHA)-certified instructor wants to move from one AHA Training Center (TC) affiliation to another.

AHA Official Instructor Transfer Request Form

Purpose & Why It Exists

• Instructors are affiliated with a specific Training Center (TC) under the the AHA.
• If an instructor changes employment, moves, or otherwise wants to be associated with a different training center, their instructor records must be formally transferred.
• The transfer ensures the receiving TC has full access to the instructor’s history (certifications, renewal records, monitoring, etc.), and that the prior TC no longer claims responsibility.
• It also helps maintain accurate records, compliance, and accountability under AHA’s Program Administration Manual.

The Form & Steps

The Instructor Records Transfer Request is a multi-section form, typically divided into three parts, which must be completed by different parties involved:

1. Accepting Training Center (new TC)
   • Indicates the new TC agrees to accept the instructor and to maintain the instructor’s records in compliance with AHA standards.
2. Instructor (the person transferring)
   • Authorizes the release of their instructor records for specific disciplines (BLS, ACLS, PALS, etc.).
   • Indicates from which TC (name, ID) the records are being transferred, and to which TC they are going.
   • Provides personal contact info (address, phone) for record-keeping.
3. Transferring Training Center (current/original TC)
   • Confirms transfer of all applicable records.
   • Provides signature, TC name/ID, contact address.
   • Retains copies of transferred records for a required retention period (often 3 years) even after the transfer.

What Records Are Transferred

The records to be transferred generally include:

• Instructor / instructor candidate applications for the disciplines being moved
• Instructor monitoring forms (performance evaluations)
• Renewal checklists, renewal documentation
• Instructor card(s) issued under the former TC
• Course rosters (within retention window)
• Any compliance or administrative records relevant to instructor status
• Records must comply with AHA’s Program Administration Manual (PAM) requirements

Timeline & Requirements

• The original Training Center is generally required to send the instructor’s files/records to the new (accepting) Training Center within 30 calendar days of receiving the request.
• The accepting TC may need to verify that the instructor has been removed from the former TC’s instructor list in the AHA’s Instructor Network.
• The new TC then issues a new instructor card under its name (once records are verified)