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Get Arkansas State Board Of Dental Assistant Change Of Address Form
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How to fill out the Arkansas State Board Of Dental Assistant Change Of Address Form online
Updating your address with the Arkansas State Board of Dental Assistants is essential for maintaining accurate records. This guide provides step-by-step instructions on how to efficiently complete the Change of Address Form online, ensuring your information is current and correct.
Follow the steps to complete the online form effectively.
- Locate and click the ‘Get Form’ button to access the Change of Address Form. This will allow you to open the document for editing.
- Begin by entering your full name as it appears on your current license in the designated field.
- Provide your license number in the appropriate area to help the board identify your record.
- Select your professional designation by marking the relevant option: Dentist, Registered Dental Hygienist, or Registered Dental Assistant.
- If applicable, indicate if you would like to notify the board of a change in your name by entering your former name and your new name.
- Next, update your home address by filling in the old address and your new address.
- If your office address has also changed, provide the old office address and the new office address in the specified fields.
- Update any phone and fax numbers by specifying the old and new numbers to ensure the board can contact you as needed.
- For newly licensed dentists in Arkansas only, you may indicate if you would like to receive the Education Packet for registering dental assistants in Arkansas.
- Once all necessary fields are filled, review the form for accuracy. You may now save your changes, download, print, or share the form as required.
Ensure your address is updated by completing the form online today.
Changing your address on your license in Arkansas requires proof of your new address, such as a bank statement or a government-issued document. You will also need to fill out the necessary forms at your local DFA office. For ease, use the Arkansas State Board Of Dental Assistant Change Of Address Form to ensure all aspects of your records are updated.
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