Get Verification Form - Nebraska Board Of Geologists

The Verification Form for the Nebraska Board of Geologists is essential for confirming an applicant's licensure status. This guide provides clear, step-by-step instructions for users of all experience levels to complete the form accurately and efficiently online.

Follow the steps to complete the Verification Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section I, fill out the applicant information. This includes your name, the last four digits of your social security number, and your complete address, including street, city, state, and ZIP code.
3. Move to Section II, Verification of Licensure or Examination. Here, you will specify if you are registered or licensed as a Geologist Intern (GIT) or Professional Geologist (PG). Indicate your corresponding certificate or license number, the date it was issued, and its validity period.
4. In the same section, provide the basis of your licensure or registration. Check the appropriate box indicating if your licensure is based on a written examination, and if so, include the score and exam date. Additionally, specify if you were accepted as a Geologist Intern or Professional Geologist from another entity.
5. You will be asked about any denials, investigations, or complaints related to the individual. Respond to each question posed, providing additional details in the remarks section as necessary.
6. After completing all sections, ensure all information is accurate and complete. You may then save your changes, and when ready, proceed to download, print, or share the form as required.

Complete your document today and ensure your verification process is seamless.