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THE OHIO MUNICIPAL JOINT REINSURANCE POOL RENEWAL APPLICATION Date: Name: Mailing Address: City and Zip: Phone Number: Fax Number: Email and/or Website Address: Effective Date of Renewal: Inspection
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How to fill out omjsp renewal app 10-02doc

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How to Fill Out OMJSP Renewal App 10-02doc:

01
Start by downloading the OMJSP Renewal App 10-02doc from the official website or obtain a copy from your local OMJSP office.
02
Carefully read through the instructions provided with the application form. Familiarize yourself with the requirements and any supporting documents that may be needed.
03
Begin by filling out the personal information section. Provide your full legal name, contact details, and any other requested information accurately.
04
Move on to the renewal section of the application. Here, you will need to provide your existing OMJSP license number and expiration date. Make sure to enter this information correctly as it determines the validity of your renewal application.
05
Next, fill out the education and training section. Provide details of any ongoing or completed medical training, certifications, or qualifications that are relevant to your OMJSP license.
06
If required, complete the employment history section. Include details of your current and past employment positions related to the field of medicine. Specify the dates of employment and your job responsibilities.
07
In the background information section, answer all the questions honestly and accurately. This may include inquiries about criminal history, disciplinary actions, or any other relevant information that may affect your OMJSP renewal.
08
Attach any necessary supporting documents as required. This may include copies of current medical licenses, professional references, or additional certifications. Ensure that all documents are clear and legible.
09
Review the completed application thoroughly before submitting it. Check for any errors or missing information. Make any necessary corrections to ensure the accuracy of your application.
10
Sign and date the application form in the designated space. By signing, you confirm that the information provided is true and accurate to the best of your knowledge.
11
Make a copy of the completed application and all supporting documents for your records.

Who needs OMJSP Renewal App 10-02doc:

01
Medical professionals who are currently licensed under the OMJSP (Official Medical Joint Services Program).
02
Individuals whose OMJSP license is approaching its expiration date and are looking to renew it.
03
Medical practitioners who have met the necessary requirements and qualifications to continue practicing under the OMJSP program.
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The omjsp renewal app 10-02doc is a form used for renewing an application in the OMSJP program.
All participants in the OMSJP program are required to file the omjsp renewal app 10-02doc.
The omjsp renewal app 10-02doc can be filled out online or by hand, following the instructions provided on the form.
The purpose of the omjsp renewal app 10-02doc is to update and renew participant information in the OMSJP program.
The omjsp renewal app 10-02doc requires participants to report personal information, employment details, and any changes in their status.
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