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How to fill out the Wvbom online
Filling out the Wvbom application is an essential step for applicants seeking a Certificate of Authorization for a Professional Limited Liability Company (PLLC) in West Virginia. This guide will provide you with clear, step-by-step instructions for completing the form accurately and efficiently.
Follow the steps to successfully complete the Wvbom application.
- Click 'Get Form' button to obtain the form and open it in the editor.
- Begin by entering the date at the top of the form. Ensure the date is formatted correctly for clarity.
- In the PLLC Name section, write the full name you intend to use for your Professional Limited Liability Company, making sure it includes the required terms: 'Professional Limited Liability Company' or the abbreviation 'P.L.L.C.' or 'PLLC'.
- Enter the office location details, including street address, city, state, zip code, and county. Make sure all information is accurate and complete.
- Input your mailing address in the designated section. This should be the address where you wish to receive correspondence from the Board of Medicine.
- Provide your telephone number and fax number in the respective fields; ensure to include the area codes.
- Fill in your Federal Employer Identification Number (FEIN) and your email address for further communication.
- List the members of the PLLC, ensuring all listed members are licensed Medical Doctors (MDs), Doctor of Podiatric Medicine (DPMs), or Doctors of Osteopathy (DOs).
- For each member, complete the name, address, West Virginia license number, and signature fields accurately.
- If you have additional members beyond the space provided, include their information on the reverse side of the form.
- Finally, certify that the application is true and complete by signing and dating the certifying member's section.
- Review the completed application for accuracy, then save changes, download, print, or share the form as required.
Take the next step in your business journey by filling out the Wvbom application form online today!
To verify your West Virginia medical license to another state, you must contact the West Virginia Board of Osteopathic Medicine (WVBOM) for a verification letter. This letter is sent directly to the other state’s licensing authority, ensuring that the information is accurate and legitimate. Using services like uslegalforms can help streamline communication with both states.
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