Get Va A406-01cert 2020-2026

The VA A406-01CERT is an essential form used to request certification of regulant status in various professions within the Commonwealth of Virginia. This guide will provide clear, step-by-step instructions to assist users in completing this form online effectively.

Follow the steps to accurately complete the VA A406-01CERT online.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Indicate how many additional copies you are requesting at the cost of $5 per copy. Enter the quantity in the designated field.
3. Select whether you are providing a legal name. If you choose 'No', the certification will be prepared on a DPOR form.
4. Enter your legal name in the fields provided: Last name, First name, Middle name, and Generation (if applicable).
5. If you have a prior name, fill in the relevant section with the prior name used.
6. If applicable, enter your professional name in the specified field.
7. Provide one of the required identification numbers: either your Social Security Number or your Virginia DMV Control Number, following the example format.
8. Fill in your mailing address where the certification will be sent, including City, State, and Zip Code.
9. Enter your email address for communication regarding your request.
10. Provide your primary telephone number for communication with the Board staff.
11. Input your Virginia license number in the provided field, along with your name as it appears on the license.
12. Sign and date the form where indicated.
13. If there is any additional information that would aid in researching your licensing record, include it in the designated area. Alternatively, you may attach a separate page.
14. Once completed, save your changes, and download the form for printing or sharing, ensuring all information is accurate before submission.

Start completing your VA A406-01CERT online today to ensure timely processing of your certification request.