Get Dhhs Licensure2117 Nebraska Gov

This guide provides essential instructions for users looking to complete the Dhhs Licensure2117 form online in a clear and efficient manner. Follow these steps to ensure a smooth application process for esthetician or esthetics instructor licensure renewal.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to access the online version of the Dhhs Licensure2117 form and open it for editing.
2. Enter your license number in the designated field. This is necessary to properly identify your existing license.
3. Provide your name as it appears on your current license. Ensure that any name changes since your last renewal are documented with appropriate proofs.
4. Fill in the section regarding your social security number. It is mandatory for processing your application. If you have an Alien Registration Number, provide that information as well.
5. Select your license status and provide relevant fees in the designated fields, keeping in mind the fee structure for esthetics and instructor licenses.
6. Complete the conviction and license information section, disclosing any misdemeanor or felony convictions as required, along with the final disposition and documentation if applicable.
7. Indicate your continuing education status. You must confirm the completion of 8 hours of continuing education or apply for one of the waivers if applicable.
8. In the attestation section, select the appropriate citizenship status and ensure you have any necessary documentation ready for submission.
9. Finally, verify all entered information for accuracy, then save changes, and submit your application. You may choose to download or print the completed form for your records.

Ensure your documents are completed and submitted online promptly to maintain your license.