Follow the steps to complete your Dental Assistant License application online

1. Click ‘Get Form’ button to obtain the Dental Assistant Registration Application and open it in the relevant editing tool.
2. Begin by filling out your personal information, including your first name, middle name, last name, and date of birth. Ensure accuracy as this information is crucial for identification.
3. Provide your Social Security Number, ensuring it is entered without errors. This is a vital step for your application.
4. Fill in your mailing address completely, including street name, city, state, and zip code. Use clear language and do not abbreviate any part of this information.
5. Enter your daytime phone number and email address, ensuring they are current and valid for communication.
6. If currently employed, list your primary employer, including the dentist's name, office telephone number, and office location.
7. Answer the background information questions thoroughly. If you answer 'Yes' to any of the questions, prepare a letter of explanation and certified copies of court documents as needed.
8. At the bottom of the form, read the declaration carefully. Make sure to provide your signature in front of a Notary Public, who will complete the required section acknowledging your signature.
9. Once completed, save your application and make copies of all necessary documents, including your CPR card and RDA course completion document if applicable.
10. Mail your completed application package, including all supporting documents and the application fee of $36, to the Dental Board. Ensure you retain a copy for your records.
11. Wait for the letter from the Dental Board regarding your Initial Renewal Fee. Follow the instructions in the letter to pay the fee online.
12. Upon paying the Initial Renewal Fee, expect to receive your RDA Certificate in the mail within 7-10 business days.

Complete your Dental Assistant License application online today to start your journey in the dental field.