Get Transcription Services Registry Application Form 1. Name: - Supreme State Az

Filling out the Transcription Services Registry Application Form is an important step in becoming a licensed transcription service provider. This guide will walk you through each section of the form to ensure you complete it correctly and efficiently.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin by entering your name in the designated fields, ensuring you fill out your last name, first name, and middle initial accurately.
3. Provide your business address, including city, state, and zip code.
4. If your mailing address differs from your business address, fill out the mailing address section with the appropriate information.
5. Indicate your employment status by checking the relevant box: self-employed or employed by a specific business. If employed, please specify the business name.
6. Enter your daytime phone number and your cell phone number in the given fields.
7. Fill in your fax number if applicable.
8. List your email address accurately to enable communications regarding your application.
9. Confirm that you are at least 18 years of age by checking the corresponding box.
10. Answer whether you have a high school diploma or GED by checking 'Yes' or 'No'.
11. If you hold any college-level degrees or certificates, provide those details in the appropriate section.
12. Briefly describe your education, training, or experience in transcribing electronically recorded judicial proceedings. You may attach additional pages if needed.
13. Answer whether you have ever been convicted of a felony, checking 'Yes' or 'No' as applicable.
14. Indicate if you have ever been found liable in a civil lawsuit including specific allegations, answering 'Yes' or 'No'.
15. If you answered 'Yes' to the previous question, provide details about the case or cases, including disposition, case number, and court location.
16. Sign and date the document, affirming that the information provided is true and accurate and agree to abide by the requirements for preparing transcripts.
17. Finally, submit your completed application along with the registration fee to the specified address indicated in the form.

Complete your Transcription Services Registry Application online today to become a licensed transcription service provider.