
L OAC 310: 664-9 & 11 I. Contact Information Last Name First Name Middle Initial Mailing Address City State Zip Code ( ) Primary Phone Number E-mail Address Agency Name Agency Phone Number II. Continuing Education Updates (CEU) (OAC 310:664-9) A home car.
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How to fill out the OK ODH Form 770 online
This guide provides a comprehensive overview of how to complete the OK ODH Form 770 online. By following the detailed steps outlined below, you will be able to successfully fill out the form and submit it with confidence.
Follow the steps to efficiently complete the OK ODH Form 770.
- Press the ‘Get Form’ button to access the OK ODH Form 770 and open it in the online editor.
- Enter your contact information in Section I. Provide your last name, first name, middle initial, mailing address, city, state, and zip code. Ensure that your primary phone number and email address are also included.
- Input your agency name and agency phone number in Section I. These details will help the Department of Health to contact you if necessary.
- Move to Section II, where you will document your continuing education updates. Confirm that you have completed at least twelve hours of continuing education by July 31, as per the requirements. Note that no continuing education is needed for the first renewal.
- In Section III, review the non-refundable renewal fee structure. Select the appropriate penalty fee amount based on when you are submitting your renewal application.
- Ensure to include a check or money order made payable to the Oklahoma State Department of Health for the necessary renewal fee. Remember to attach your application and other required documents before submitting.
- Proceed to Section IV. Sign and date the form, affirming that the information provided is accurate to the best of your knowledge.
- After filling out all necessary fields, save your changes. You may then choose to download, print, or share the form as needed.
Complete your OK ODH Form 770 online today for a smooth and efficient renewal process.
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