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Get Maryland Uniform Credentialing Form

R initials, unless they are part of your legal name. Tips to avoid processing delays 1. Complete only this application and its supplemental forms. Do not use another application or credentialing form. 2. Use a blue or black ink ball-point pen only. Do not use a pencil or a felt-tip pen. 3. Print legibly and inside the boxes and spaces provided. 4. Complete all sections that are applicable to you. 5. Use supplemental forms where appropriate. 6. Some fields use codes to help you easily repo.

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