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IMPORTANT: Complete this application to apply for reimbursement of licensing or certification test fees. You must apply separately for VA.Enter all applicable amounts and totals on Part 2. 2. You must download and complete the application using Adobe Acrobat Reader. (Pursuant to NAC 616C.150). Application Submission: Complete no earlier than 90 days before the term begins and no later than 30 days after the course start date. The checklist below and the subsequent instructions will help you prepare a complete and successful reimbursement application. Application Checklist. Indicate whether you are a public or private provider. UPON SALE OR PURCHASE (on separate form for each) OF RESIDENCE UPON CHANGE.