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Get Affidavit Of Licensure Oregon Form

Oregon.gov/ohla E-mail ohla.info state. or. us Affidavit of Licensure Request I am currently licensed in Oregon please send verification of my license to another state. STATE OR AGENCY NAME ADDRESS SIGNATURE Date Pursuant to Oregon Administrative Rule 331-030-0040 3 b applicants requesting an affidavit of licensure from Oregon to another state or requesting the agency to verify licensure from another state the applicant must submit two forms of r.

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