Get Request For Written Verification - State Of Oregon - Oregon

Filling out the REQUEST FOR WRITTEN VERIFICATION form is essential for obtaining written confirmation of your Oregon license. This guide provides a detailed and user-friendly approach to help you navigate through each section of the form efficiently.

Follow the steps to complete the form correctly.

1. Press the ‘Get Form’ button to obtain the REQUEST FOR WRITTEN VERIFICATION form and open it in your digital workspace.
2. Begin by entering your licensee name in the designated fields, ensuring that you correctly input your last name, first name, and middle name, if applicable.
3. Next, fill in your license number in the specified field. If you are unsure of your license number, refer to your original licensure documents.
4. Provide your contact phone number in the provided section, ensuring that you include the area code.
5. Identify the recipient's name in the appropriate space where you wish to send the verification. Ensure accuracy in spelling.
6. Complete the recipient's address fields. Enter the street or P.O. Box on the first line, followed by any additional address information on the second line, and then the city, state, and zip code on the last line.
7. Indicate if you have enclosed another jurisdiction's form to be completed by checking the appropriate box.
8. In accordance with the provided instructions, enclose a check for $25.00, payable to the Oregon Physical Therapist Licensing Board, to cover the verification cost.
9. Sign the form in the designated section to validate your request, and include the date of signing.
10. Review your completed form for accuracy, and then proceed to save changes. You can also download, print, or share the form as needed.

Start completing your REQUEST FOR WRITTEN VERIFICATION form online today to ensure a smooth verification process.