Get Oh Obn Approver Re-approval Application 2019-2026

This guide provides clear and structured instructions for completing the OH OBN Approver Re-Approval Application online. Users can follow the steps outlined below to ensure all necessary information is accurately submitted for re-approval.

Follow the steps to complete the application successfully.

1. Click ‘Get Form’ button to obtain the OH OBN Approver Re-Approval Application and open it in your preferred editor.
2. Fill out the Approver Contact Information section with the official name of your organization, approver number, headquarters address, city, zip code, state, telephone number, email address, website, and the contact person's name and title along with their contact details.
3. Indicate whether you are a nursing or dialysis technician organization, a nursing education program, a dialysis technician training program, or a nursing or dialysis technician continuing education department by selecting one appropriate option.
4. Review the Verification of Rule Compliance section. Confirm that the required processes as stated in Rule 4723-14-12 of the Ohio Administrative Code are established and implemented. Answer each question truthfully, providing explanations on a separate attachment for any 'no' responses.
5. Complete sections 4723-14-12 (A)(1) to (A)(21) by providing detailed information about your organization's qualifications, processes for continuing education, and documentation practices. Ensure accuracy in description.
6. Include your signature and the date at the bottom of the form to attest that all provided information is true and accurate.
7. Prepare your payment for the reapproval fee of $750, which covers a five-year reapproval. Make your check or money order payable to 'Treasurer State of Ohio.'
8. Finally, save your changes, download a copy of your filled-out application, and share it as needed.

Complete your OH OBN Approver Re-Approval Application online today to ensure your organization's continuous compliance.