Get Asbrt

Filling out the Application for a Temporary Alabama Respiratory Therapist License (Asbrt) online can seem daunting. This guide provides a clear, step-by-step approach to help you navigate the process efficiently, ensuring you complete the application accurately.

Follow the steps to successfully complete the Asbrt online.

1. Click ‘Get Form’ button to obtain the form and open it in the designated online editor.
2. Begin filling out your personal information in the designated fields. Start with your legal name—Last Name, First Name, and Middle Name. If there’s a discrepancy with your documentation, be prepared to submit proof of any legal name changes.
3. Next, provide a list of all names you are currently known by or have previously used. This ensures that your application is processed under every name associated with your records.
4. Fill in your current mailing address, including city, state, and zip code. If you have lived at your current address for less than three years, also include your prior address.
5. Provide your phone numbers—home, work, and any other optional contact number. Then, input your email address, which is also optional.
6. Enter your Social Security Number and date of birth in the required format. Also, indicate your gender and the city and state (or country) of your birth.
7. In Section 2, detail your employment and education history for the previous three years. List all employers with their addresses and phone numbers, along with your position titles and reasons for leaving.
8. Continue with your education history, listing all relevant institutions you've attended, dates, graduation dates, and majors. Use additional sheets if necessary.
9. Document all respiratory therapy licenses you hold or have held, indicating the state, license type, issue date, and its status (active or inactive).
10. Move to Section 3 and verify if you meet the criteria for a temporary license, marking the appropriate boxes and providing graduation dates where required.
11. In Section 4, carefully respond to all disclosure questions regarding any legal issues or health-related impairments, maintaining honesty in your answers.
12. Complete Section 5, the Affidavit of Applicant, by signing and dating the application. This section confirms the accuracy of the information you have provided.
13. Finally, in Section 6, obtain a notary signature to validate your application. Ensure you have the required details filled out, including the notary's commission expiration.
14. Once all sections are complete, save your changes. You can download, print, or share your completed application as required.

Start completing your Asbrt online application today to secure your temporary Alabama respiratory therapist license.