Get Omb No 0925 0613 National Cancer Institute Form

Filling out the Omb No 0925 0613 National Cancer Institute Form online can be a straightforward process. This guide provides step-by-step instructions to help you complete each section accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the Omb No 0925 0613 National Cancer Institute Form and open it in your editor.
2. Begin with Section 1, where you will enter your legal name in the format "Last, First, Middle, Suffix." Ensure that you provide all components correctly.
3. In Section 2, list your degrees, such as M.D. or D.O., for identification purposes.
4. If applicable, enter your NCI Investigator Number in Section 3. If you do not have one, leave this field blank.
5. Complete Section 4 with your date of birth using the MM/YYYY format as specified.
6. In Section 5, indicate your Provider Number (UPIN), which is optional for internal reporting.
7. Section 6 asks whether you are currently licensed to practice medicine. Select either 'Yes' or 'No.'
8. In Section 7, check all applicable primary specialty practices. This will help identify your areas of expertise.
9. Confirm if you have completed the mandatory training in the protection of human research participants in Section 8, along with the completion date.
10. Proceed to Section 9 to enter your office address. Ensure all parts, including institution and city, are filled out correctly for official correspondence.
11. Fill in Section 10 with your primary shipping address, used for receiving supplies, ensuring all fields are filled accurately.
12. Section 11 requires you to list any approved ordering designees who can request CTEP-supplied agents, along with their contact information.
13. Once all sections are completed, review the form for accuracy. You can then save changes, download a copy, print, or share the form as needed.

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