Get After Expiration

Completing the After Expiration form is a critical step for maintaining your medical gas distributor permit in Oklahoma. This guide will walk you through each section of the form, ensuring you provide all necessary information accurately and effectively.

Follow the steps to fill out the After Expiration form online

1. Click 'Get Form' button to obtain the After Expiration form and access it in the editor.
2. Begin by entering the expiration date in the designated field.
3. In Section 1, provide the name and/or doing business as (dba) along with the street address of your facility. Ensure that this information is clearly printed.
4. In Section 4, describe your business practice at this location. Check all applicable boxes related to how you distribute medical gas.
5. Fill out the contact information for the facility manager in Sections 5 to 6, including their email and phone number.
6. Specify the facility hours in Section 7, detailing the hours of operation for each day of the week.
7. Indicate the type of ownership in Section 8 by selecting from the provided options.
8. In Section 9, note the state of incorporation if applicable.
9. Provide the name of the partnership or corporate owner in Section 10, followed by listing individual owners, partners, or corporate officers in Section 11. Attach a separate page if necessary.
10. In Section 12, answer whether there have been any legal issues related to the manager, owner, or business in the past 15 months. Provide details on a separate page if you answered 'Yes.'
11. Confirm the status of your facility's location in Section 13, attaching a copy of the facility’s license if it is not located in Oklahoma.
12. In Section 14, provide the name and title of the person responsible for the application. Make sure to sign and date the form.
13. Once all sections are completed, you can save the changes, download the form, print a copy, or share it as necessary.

Complete your After Expiration form online today to ensure your compliance and avoid any late fees.