State of Tennessee Training Request Form
Welcome to the Customer Training Department's Training Order Form
  • If you have any issues or questions regarding how to complete this form please email the Customer Training Department at customertraining@optum.com or call 1-866-876-2785 ext. 0.
  • Whenever possible, we ask that trainings are requested 30 days in advance, however the Customer Training Department is able to accommodate more urgent requests as needed.
  • Additional sessions for the same training topic and site location may be submitted on one form. Please submit a separate training order form, if the topic or site location is different.
  • Minimum of 10 participants recommended per training.
  • Fields with a red bar are required.
  User Guide

 
Hide Section - Request Contact Information

Request Contact Information

Company NameState of Tennessee
Hide Section - Event Type and Session Details

Event Type and Session Details

  
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Is your training date flexible?
  
Hide Section - Additional Sessions

Additional Sessions

Will there be additional sessions required for this training topic?
Hide Section - Acknowledge and Submit

Acknowledge and Submit

This form has been completed and submitted by
  
  
 
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