Get Rcverification.doc. Forms And Form Information - Dshs State Tx

This guide serves as a comprehensive resource to assist users in filling out the Rcverification.doc. Forms And Form Information - Dshs State Tx online. By following the steps outlined below, users can ensure their application is completed accurately and efficiently.

Follow the steps to fill out the form correctly.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. In Part 1, provide your printed name, date of birth, and certificate/registration/social security number. Confirm that you are applying for a practitioner of respiratory care license in Texas and authorize the release of your information by signing the section.
3. Forward the completed Part 1 form to each state, territory, or country where you hold or have held any professional license. Be aware that some states may require a fee for processing your request.
4. Part 2 will be completed by the respective state agency. Ensure they provide the applicant's name, certificate/license number, issuance date, and the issuing state. They should also indicate the certificate status (current, lapsed, inactive, or other) and any disciplinary actions, if applicable.
5. Make sure the agency representative signs and dates Part 2, and that the board seal is affixed to the form.
6. Once both parts of the form are completed, return it to the Texas Department of State Health Services at the specified address. You may also need to contact them for any specific requirements or fees.
7. After submitting the form, keep a copy for your records and confirm receipt if necessary. You can save any changes, download, print, or share the completed form as needed.

Complete your documents online today to ensure a smooth application process.