Get State Form 19634
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How to fill out the State Form 19634 online
Filling out the State Form 19634 online is a crucial step in ensuring your Emergency Medical Services (EMS) certification reciprocity. This guide provides detailed, step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to complete the form successfully.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering your personal information in Part I. Fill in your first, middle, and last name, and if applicable, include your maiden name. Provide your complete address including street number, city, state, and ZIP code.
- Next, enter your telephone number and driver's license number. Ensure that the date of birth is entered in the correct format (month, day, year).
- In the next field, select the level of EMS certification or license for reciprocity from the provided options, including Emergency Medical Responder, Advanced Emergency Medical Technician, Emergency Medical Technician, or Paramedic.
- After completing Part I, move to Part II. This section must be filled out by the Emergency Medical Services Certification or Licensing Agency. They need to provide the type of certification/license issued by your state along with the certification/license number, issuance date, and expiration date.
- The agency must also verify if the course of instruction met or exceeded National Education Standard Curriculum guidelines and answer whether the certification/license was issued based on reciprocity from another state.
- Confirm whether the EMS certification/license has ever been revoked or suspended. This section requires a Yes or No response, and if it has been suspended or revoked, additional comments may need to be provided.
- Finally, the verifying person must provide their printed name, title, signature, and contact number. Once all sections are completed, ensure to double-check all entries for accuracy.
- After review, users can save changes, download the completed form, print it, or share it as necessary.
Complete your documents online today for a smooth submission process.
The approval time for an I-29F form varies, typically ranging from five to seven months. This timeframe can be affected by several factors, including the current workload at USCIS and the specifics of your application. It is essential to remain patient during this time and consider checking processing times on the USCIS website. For efficient management of your forms, USLegalForms offers resources that align with State Form 19634, improving your overall experience.
Fill State Form 19634
INSTRUCTIONS: A. For State Agency: 1. The applicant named above has applied for licensure in Michigan and has indicated licensure in your state. The applicant named above has applied for licensure in Michigan and has indicated licensure in your state. Verification of NYS Certification requires signed consent from the provider and certification information will not be supplied over the phone. Packaged Facts research shows that pet parents are looking for more functional food options to improve their pets' health and wellness. Complete Part I of the EMS Reciprocity Application. Leave Part II blank. 2. State: Issuance Date. I am applying for an EMS license in the State of Tennessee and authorize your agency to release the information requested in the lower section of this form. Web download the state form 39530 to apply for a certificate of title for a vehicle in indiana.
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