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Get CA 55CP-4 2003-2024

916-263-7800 Fax 916-263-7855 www.bvnpt.ca.gov APPLICATION FOR REPLACEMENT PT LICENSE The Board of Vocational Nursing and Psychiatric Technicians acknowledges receipt of your request for a replacement license. Please follow the instructions below to obtain a replacement license: Complete this form and attach a check or money order for $20.00 made payable to the BVNPT. Mail the form and check to the Board at the address shown above. Please allow 3-4 weeks for processing.

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