Get Or Omb Verification Of Licensure And Certification Of State Board Written Examination Grades 2017

The OR OMB Verification Of Licensure And Certification Of State Board Written Examination Grades form is essential for individuals seeking licensure in the medical field. This guide provides a comprehensive overview of how to accurately complete the form online to ensure a smooth submission process.

Follow the steps to fill out the OR OMB Verification Of Licensure And Certification Of State Board Written Examination Grades

1. Click ‘Get Form’ button to access the form and open it for completion.
2. Begin by filling out the upper portion of the form. Provide your last name, first name, any other names you have been known by, and your middle name. This information helps ensure that your records are accurately matched.
3. Enter your date of birth in the format mm/dd/yy, and include the last four digits of your social security number. This personal information is necessary to verify your identity.
4. Indicate your license number and the date it was issued in mm/dd/yy format. Providing these details will aid in assessing your licensure status.
5. Fill in your current address, including street address, city, state, and zip code, to ensure accurate communication.
6. In the authorization section, sign your name and date the form to permit the Oregon Medical Board to obtain relevant information about your licensure.
7. After you complete the upper portion, send the form directly to each State Board with which you have applied for an unlimited license. Confirm any required fees with the State Board.
8. Once the State Board completes the lower portion of the form, ensure that they sign it, attach their seal, and return it directly to the Oregon Medical Board.
9. Finally, after all details are entered, save your changes and consider downloading, printing, or sharing the completed form as needed.

Start filling out your OR OMB Verification Of Licensure And Certification Of State Board Written Examination Grades online today.