Get Ksbsrb

This guide provides clear instructions on how to complete the Ksbsrb renewal application online. Whether you are renewing your licensure or submitting necessary information, this comprehensive guide will assist you in filling out each section accurately.

Follow the steps to complete your Ksbsrb renewal application online.

1. Select the 'Get Form' button to access the renewal application and open it in your preferred digital document manager.
2. Begin by providing your personal information. Enter your last name, first name, middle name, license level, license number, expiration date, social security number, and date of birth. Ensure all information is accurate as it is crucial for processing your renewal.
3. Complete the ethnic information section, noting that this is optional. Choose the ethnicity categories that apply to you by checking the appropriate boxes.
4. Indicate the languages that you speak, marking English, Spanish, Sign language, or any other language as applicable.
5. Provide your preferred mailing address by selecting whether it is home or business. Enter your email address and home address details, including apartment number, city, state, zip code, and county.
6. Fill out the business information if applicable, including the name of your agency or business and its corresponding address details.
7. Indicate whether you work in Kansas and provide additional details such as total hours worked per week in Kansas, work setting, patients seen per week, and hours worked at your primary site.
8. Answer a series of questions in Section II that inquire about your license status, convictions, complaints, employment status, and any impairments. Details must be provided on a separate sheet if you answer 'Yes' to any of the questions.
9. Complete Section III about your employment information, including whether your position requires a BSRB License and details about your supervision or practice.
10. Read the attestations in Section IV carefully. Confirm your understanding by checking 'Yes' or 'No' for each statement, then provide your signature and date the form.
11. Finally, review the checklist to ensure you have enclosed all required documents and payment. You can either download, print, or share the completed form as needed.

Take the next step and complete your Ksbsrb renewal application online today.