Get Ca Dca Request For Reapply/repeat Examination 2020-2025

The CA DCA Request For Reapply/Repeat Examination form is essential for individuals looking to retake or reapply for their examination. This guide will take you through the steps required to fill out the form accurately and efficiently, ensuring a smoother application process.

Follow the steps to complete the form online successfully.

1. Click the 'Get Form' button to access the form and open it in the editor.
2. Begin by entering your personal information including your first name, middle name, and last name. Ensure that the names match the identification documents.
3. Fill in your date of birth in the format Month/Day/Year to verify your identity.
4. Provide your address and ensure that it is complete, including your city, state, and postal/zip code.
5. Include a valid telephone number, specifying both home and alternate numbers.
6. List any previous names you may have used, including any maiden names.
7. Enter your email address in the designated field as it is required for communication.
8. Input your U.S. Social Security Number or Individual Taxpayer Identification Number, as this is mandatory for processing your application.
9. State your mother’s maiden name, which may be used for verification purposes.
10. If you require special testing accommodations, check the box and attach the necessary documentation that supports your request.
11. Indicate the last exam you applied for and the last exam you took by providing the corresponding months and years.
12. Specify the country where you received your nursing education.
13. Answer the question regarding any prior disciplinary proceedings against any health-care related licenses you hold. If applicable, provide a detailed written explanation on a separate sheet.
14. Authenticate your application by signing and dating the form, certifying that all information is true and complete.
15. Once all fields are completed, save your changes, and review the entire form for accuracy. You can then download, print, or share the completed document as necessary.

Complete your CA DCA Request For Reapply/Repeat Examination form online today to streamline your licensure process.