Get Acupuncture Board - Active Inactive Application - Acupuncture Ca

This guide is designed to assist users in accurately completing the Acupuncture Board - Active Inactive Application online. By following these steps, you will ensure that your application is successfully submitted and processed.

Follow the steps to complete your application seamlessly.

1. Click ‘Get Form’ button to obtain the application and open it in your preferred editor.
2. Enter your full name in the specified fields: Last name, First name, and Middle name.
3. Provide your address of record, including city, state, and zip code. Remember that this address is public information.
4. Fill in your license number, license issue date, and license expiration date accurately.
5. Indicate whether you wish to place your license on inactive status or request to reactivate it. If choosing inactive status, provide the date you last practiced acupuncture in California.
6. Read the disclaimers carefully regarding the implications of inactive status and the requirements for reactivation, including continuing education hours required.
7. If applicable, list all completed Continuing Education Units (CEUs) taken within the last two years, including the date, provider name, course, and total CEU hours.
8. Sign and date the application at the bottom to affirm the truthfulness of the information provided.
9. Upon completing all fields, save your changes and ensure that you have downloaded or printed a copy of the application for your records before submitting it online.

Start your application process today and complete your documents online!