Get Dshs Online Med Certification Form
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How to use or fill out the Dshs Online Med Certification Form online
Completing the Dshs Online Med Certification Form is a crucial step for anyone seeking certification as a Medical Radiologic Technologist in Texas. This guide will provide you with clear, step-by-step instructions to help you fill out the form accurately and efficiently.
Follow the steps to complete the form successfully.
- Click 'Get Form' button to access the online form.
- Begin by entering your personal information. This includes your last name, first name, middle name, and any other names you have previously used. You will also need to fill in your date of birth and mailing address.
- Provide your contact details. Include your telephone number, driver’s license number and state, as well as your social security number. Remember, the disclosure of your social security number is mandatory for identification purposes.
- Indicate your current employment status by checking either 'Yes' or 'No.' If you are currently employed, provide the name and address of your place of employment, along with your job title and specific duties.
- Circle the number that represents your primary employment setting. Be careful to select only one category that best describes how you spend most of your time.
- Fill in your work history. List your most recent job first, detailing the job title, employer's name and address, and the dates of your employment.
- Document your professional credentials. List all certifications you hold and attach a copy of your current certification card to the application.
- Answer any additional questions regarding previous certifications or licenses, as well as any criminal history. Be truthful and thorough in your responses, and attach any necessary documentation.
- Review the attestation section carefully. This ensures that you understand and agree to the terms related to the certification process. You will need to sign and date this section.
- Once you have filled out the form completely, save your changes. You have options to download, print, or share the completed form as needed.
Complete your Dshs Online Med Certification Form online today to take a step toward your certification!
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A mid certification review is a process that ensures your ongoing eligibility for benefits before your certification period ends. During this review, the Dshs Online Med Certification Form may be required to update your income and household information. Completing this review helps DSHS confirm that you still qualify for assistance and allows you to continue receiving benefits without interruption. Make sure to respond promptly to any requests for information during this period.
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