Get the free Certified Dental Technician Change Request Form - tsbde texas

TEXAS STATE BOARD OF DENTAL EXAMINERS 333 Guadalupe, Tower 3, Suite 800 Austin, Texas 787013942 Phone: (512× 4636400 / Fax: (512× 4637452 Website: www.tsbde.texas.gov Email: info side.Texas.gov

How to fill out certified dental technician change

How to fill out certified dental technician change:

1. Fill in your personal information, including your full name, address, phone number, and email address. Make sure to provide accurate and up-to-date information.
2. Indicate the reason for the change in your certified dental technician status. This could be due to a name change, relocation, or any other relevant circumstance.
3. Provide documentation to support your request for the change. This may include legal documents, such as a marriage certificate or court order, if applicable.
4. Clearly state the new information that needs to be updated in your certified dental technician records. For example, if you have changed your name, provide the new name that should be reflected in the records.
5. Double-check all the information you have provided to ensure accuracy and completeness. Any errors or missing information may delay the processing of your request.
6. Submit the completed certified dental technician change form to the appropriate authority, such as the dental technician licensing board or regulatory agency. Follow the instructions given regarding submission methods, such as online submission, mail, or in-person delivery.

Who needs certified dental technician change:

1. Certified dental technicians who have undergone a name change due to marriage, divorce, or other legal reasons.
2. Dental technicians who have relocated to a new address and need to update their contact information.
3. Individuals who have changed their phone number or email address and need to update their certified dental technician records.
4. Dental technicians who have experienced a change in their employment status, such as starting a new job or retiring from the profession.

It is important to note that the specific requirements for certified dental technician change may vary depending on your jurisdiction and the governing body responsible for dental technician licensing. It is recommended to consult the relevant guidelines or contact the appropriate authority for accurate and up-to-date information on how to fill out the certified dental technician change form.

For pdfFiller’s FAQs

What is certified dental technician change?

Certified dental technician change refers to updating the certification of a dental technician.

Who is required to file certified dental technician change?

Any dental technician who has recently obtained certification or needs to update their certification is required to file certified dental technician change.

How to fill out certified dental technician change?

To fill out certified dental technician change, the technician would need to provide their personal information, certification details, and any changes that have occurred.

What is the purpose of certified dental technician change?

The purpose of certified dental technician change is to ensure that all dental technicians are properly certified and up to date with their credentials.

What information must be reported on certified dental technician change?

The information that must be reported on certified dental technician change includes the technician's name, certification number, any changes to their certification status, and contact information.

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