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Get Doh Chrc Bform 106b
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How to fill out the DOH CHRC BForm 106b online
Filling out the DOH CHRC BForm 106b online can seem daunting, but this guide will offer clear and supportive instructions to ensure a smooth completion. The DOH CHRC BForm 106b is essential for revoking an Authorized Person's designation within an agency's criminal history record check.
Follow the steps to complete the form successfully.
- Press the ‘Get Form’ button to access the form and open it for editing.
- In Section 1, provide the Agency Name, PFI/Operating License Number, and the Name of the Authorized Person who is being revoked. If known, include their HCS Account ID.
- Move to Section 2 to have the Agency Representative approve the revocation. They must print their Name, Title, and provide a Signature along with the Date.
- Once all fields are completed, review the information for accuracy ensuring that all required sections are filled out clearly.
- After validation, save the changes made to the form. You will have the option to download, print, or share the completed form for submission.
Begin completing your documents online today for a streamlined process.
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