
Get the free Verification of State Licensure Form - State of Indiana - in
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Telephone: (317) 232-2960. Fax: (317) 233-4236 www.pla.IN.gov. DO NOT WRITE BELOW THIS LINE. Name (last, first ...
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What is verification of state licensure?
Verification of state licensure is the process of confirming that an individual or entity holds a valid license issued by a state licensing authority.
Who is required to file verification of state licensure?
The individuals or entities who are required to file verification of state licensure are those who hold a professional license issued by a state licensing authority.
How to fill out verification of state licensure?
To fill out verification of state licensure, you need to provide information about your license, such as license number, issue date, expiration date, and any disciplinary actions or restrictions. You may also need to provide supporting documents, such as copies of your license or documentation of continuing education.
What is the purpose of verification of state licensure?
The purpose of verification of state licensure is to ensure that individuals or entities practicing a regulated profession have met the state's requirements for licensure and are authorized to provide services to the public.
What information must be reported on verification of state licensure?
The information that must be reported on verification of state licensure includes the license holder's name, contact information, license number, issue date, expiration date, and any disciplinary actions or restrictions imposed on the license.
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