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Get the free DUPLICATE OR REPLACEMENT OF CERTIFICATE OF LICENSURE APPLICATION FORM - nmenv state nm

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This form is used to apply for a duplicate or replacement certificate of licensure with the New Mexico Environment Department's Radiation Control Bureau.
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How to fill out DUPLICATE OR REPLACEMENT OF CERTIFICATE OF LICENSURE APPLICATION FORM

01
Obtain the Duplicate or Replacement of Certificate of Licensure Application Form from the relevant licensing authority's website or office.
02
Fill out personal information such as name, license number, and contact details accurately.
03
Indicate the reason for requesting a duplicate or replacement certificate (e.g., lost, stolen, damaged).
04
Attach any required documentation, such as a police report for stolen certificates or photographs for damaged ones.
05
Include payment for any applicable fees, ensuring to check the accepted payment methods.
06
Review the completed application for accuracy and completeness.
07
Submit the form and any necessary documents either in person or via the specified submission method (e.g., mail, online).

Who needs DUPLICATE OR REPLACEMENT OF CERTIFICATE OF LICENSURE APPLICATION FORM?

01
Individuals who have lost their original certificate of licensure.
02
Professionals whose certificate has been damaged or illegible.
03
Licensees who need a duplicate for professional verification or employment purposes.
04
Those requiring a replacement due to a name change or other personal information updates.
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The DUPLICATE OR REPLACEMENT OF CERTIFICATE OF LICENSURE APPLICATION FORM is a document that individuals can submit to request a duplicate or replacement of their professional licensure certificate, typically due to loss, damage, or changes in personal information.
Individuals who have lost their certificate of licensure, have had it damaged, or need to update their personal information, such as name changes, are required to file this application form.
To fill out the form, you need to provide your personal details such as name, address, and contact information, details of the original licensure certificate, reason for requesting a duplicate or replacement, and any required fees.
The purpose of the form is to facilitate the reissuance of a professional licensure certificate to individuals who need an official document that verifies their qualifications and licensure status.
Required information includes the applicant's full name, license number, issue date of the original certificate, reason for requesting a duplicate or replacement, and current contact details. Additional documentation may be required depending on the licensing authority.
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