Get Form Doh 4453

Filling out the Form Doh 4453 is a straightforward process that helps individuals request a duplicate card. This guide will provide you with clear, step-by-step instructions to complete the form effectively online.

Follow the steps to successfully complete the form:

1. Press the ‘Get Form’ button to obtain the form and open it in the editor.
2. In the form, locate the section labeled 'EMT Number' and input your unique EMT number.
3. Find the 'Expiration Date' field and enter the expiration date of your current certification.
4. Proceed to the 'Name' section. Fill in your last name and suffix as applicable.
5. In the first name field, enter your first name along with your middle initial.
6. Look for the 'Address' section. Fill in your street number, street name, and apartment number if applicable.
7. Continue by specifying your city and state in the corresponding fields.
8. Enter your zip code, ensuring all digits are correct.
9. Fill in your date of birth in the designated section.
10. Indicate your county of residence in the next field.
11. Select your sex in the provided options.
12. Enter your phone number in the specified field for direct communication.
13. Review your entries carefully to ensure all information is accurate and complete.
14. After verifying the information, save your changes and download the completed form.
15. Print the form and sign it, as an original signature is required.
16. Lastly, fax or mail the signed form to the Certification Unit at the Bureau of EMS using the provided address.

Get started now to fill out your documents online efficiently.