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STATE OF MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DHH) OFFICE OF HEALTH CARE QUALITY (ONCE) Form Approved 04/09/2014 DHH Form DD.SITE.1.0 DEVELOPMENTAL DISABILITIES ADMINISTRATION LIST OF

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How to fill out dd list of licensed

How to fill out a DD list of licensed:

01

Obtain the necessary form: The DD Form 2058, also known as the "State of License or Certificate of Insurance Required by the Department of Defense," can be obtained from your local military installation or downloaded from the official Department of Defense website.

02

Fill in personal information: Begin by providing your personal information, such as your full name, address, and contact details. Ensure that all information is accurate and up to date.

03

Identify licenses and certifications: In this section, list all the licenses and certifications you hold relevant to the position or situation that requires the DD form. Include the license/certification number, date of issue, and expiration date.

04

Provide license details: For each license or certification listed, provide additional information, such as the state or authority that issued the license and any restrictions associated with it. This helps to verify the authenticity and validity of the licenses.

05

Attach supporting documentation: If required, attach copies of the actual licenses or certifications to the DD form. This is typically necessary for certain positions or when requested by the Department of Defense.

Who needs a DD list of licensed?

01

Military personnel: Members of the military may need to complete a DD list of licensed when seeking certain assignments or roles that require specific licenses or certifications. This is to ensure that individuals possess the necessary qualifications for their assigned duties.

02

Contractors and vendors: Contractors and vendors providing services or products to the Department of Defense may be required to submit a DD list of licensed to demonstrate compliance with licensing requirements. This ensures that all parties involved meet the necessary professional standards.

03

Government employees: Some government employees, especially those working in sensitive areas or with specialized expertise, may need to fill out a DD list of licensed as part of the security clearance process. This helps assess an individual's qualifications and capabilities within their respective roles.

In summary, filling out a DD list of licensed involves providing personal information, listing licenses and certifications, including license details, and attaching supporting documentation if necessary. This form is typically required for military personnel, contractors and vendors, as well as certain government employees to verify essential qualifications and compliance with licensing requirements.

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