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Get the free DOH-4453 Duplicate card formdoc Form for obtaining a duplicate EMT card

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NEW YORK STATE DEPARTMENT OF HEALTH Duplicate Card Request Bureau of Emergency Medical Services Please type or print EMT Number Expiration Date Name Last and Suffix Name Change First and Middle Initial
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01
Start by carefully reading the instructions provided on the formdoc. It is important to understand the requirements and the information that needs to be provided.
02
Begin filling out the formdoc by entering your personal information. This may include your name, address, contact details, and any other required identification information.
03
Fill in the reason for needing a duplicate card. This could be due to loss, theft, damage, or any other valid reason.
04
Provide any additional information or documentation that is required to support your request for a duplicate card. This could include a police report in case of theft, an explanation for damage, or any other relevant documents.
05
Double-check all the information entered on the formdoc to ensure accuracy. Mistakes or missing information may result in delays or rejection of your application.
06
Once you have completed all the required sections, sign and date the formdoc as instructed.
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If there are any additional steps or requirements mentioned in the instructions, make sure to follow them accordingly.
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Submit the filled out doh-4453 duplicate card formdoc to the designated authority or office mentioned on the formdoc or in the instructions.

Who needs doh-4453 duplicate card formdoc?

01
Individuals who have lost their original card and need a replacement.
02
Individuals whose card has been stolen and need a duplicate.
03
Individuals whose card has been damaged beyond use and require a new one.
04
Individuals who require a duplicate card for any other valid reason mentioned by the relevant authority.
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doh-4453 duplicate card formdoc is a form used to request a duplicate card from the Department of Health.
Any individual who has lost or damaged their original card issued by the Department of Health.
To fill out the doh-4453 duplicate card formdoc, you need to provide your personal information, reason for requesting a duplicate card, and any other required details requested on the form.
The purpose of the doh-4453 duplicate card formdoc is to request a replacement card from the Department of Health.
The information required on the doh-4453 duplicate card formdoc includes personal details, reason for requesting a duplicate card, and any additional information as requested on the form.
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Relevant keywords

New_York 10NYCRR E-MAIL DOH-4453 EMT Suffix applicable affirm Certification misdemeanors felonies EMS NY Expiration individually accordance provisions requirements

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