Get Replacment License - Speech-language Pathology And Audiology ...

Filling out the Replacement License - Speech-Language Pathology And Audiology form online can be a straightforward process. This guide will provide you with clear, step-by-step instructions to help you successfully complete your application.

Follow the steps to accurately complete your replacement license request.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering your full name in the designated field. Make sure the spelling matches your original documents.
3. Choose your license type by checking the appropriate option from the list provided, including options such as SP, AU, DAU, SPA, HA, or RPE.
4. Enter your license number in the specified field. This information is crucial for processing your request.
5. Provide a contact phone number, including the area code, ensuring you can be reached for any questions regarding your application.
6. Fill in your address of record completely, including street, city, state, and zip code. This will be the address to which your new documents will be mailed.
7. Indicate whether you would like to change your address of record by selecting 'Yes' or 'No'. Ensure you provide the updated address if 'Yes' is selected.
8. Select the specific type of license you are requesting by checking the corresponding box, keeping in mind the $25.00 fee per document.
9. Specify the reason for your request from the options provided: Lost, Stolen, Original Not Received, Address Change, or Name Change.
10. If you're requesting a name change, remember to complete the Notification of Name Change and attach the necessary documentation.
11. Affirm your identity by signing the form, certifying that you are the legitimate holder of the original certificates, and including the date of your signature.
12. Review all the information you've entered to ensure accuracy. Once confirmed, you can proceed to save the form, download it, or share it for submission.

Complete your Replacement License request online today and ensure your professional records are up to date.