Get the free Form374 - Rad-Tech, Florida Board of - Florida Department of Health

CE PROVIDER INFORMATION SHEET OFFICE USE ONLY BUREAU OF RADIATION CONTROL COURSE #: PROVIDER NUMBER CONTENT: (IF KNOWN) TELEPHONE DISPOSITION: Extension: PROVIDER NAME HOURS: CONTACT PERSON ADDRESS

How to fill out form374 - rad-tech florida

How to fill out form374 - rad-tech florida?

1. Start by ensuring that you have the correct version of form374. It is specifically for rad-tech professionals in the state of Florida.
2. Provide your personal information in the designated fields. This includes your full name, address, contact details, and social security number.
3. Indicate your employment information, including the name of your current or previous employer, job title, and dates of employment. If you are currently unemployed, specify that as well.
4. Fill in the details of your education and training. Include the name and location of the institution where you received your rad-tech education, as well as your graduation date and degree or certification obtained.
5. If applicable, provide information about any previous rad-tech licenses or certifications you've held in Florida or any other states.
6. Complete the section related to your criminal history, if applicable. Be honest and provide any relevant information about convictions, pending charges, or disciplinary actions taken against you.
7. Sign and date the form, certifying that all the information provided is true and accurate to the best of your knowledge.

Who needs form374 - rad-tech florida?

Form374 - rad-tech florida is specifically designed for rad-tech professionals in the state of Florida. If you are a radiologic technologist working in Florida, you will likely need to fill out this form as part of the licensure or certification process.

This form is required to ensure that rad-tech professionals in Florida meet the necessary qualifications and requirements set forth by regulatory bodies. It helps to verify their education, training, and employment history, as well as ensuring that they meet the state's standards for criminal history and ethical conduct.

It is important to note that the exact requirements for this form may vary slightly depending on the specific licensing or certification board overseeing rad-tech professionals in Florida. Therefore, it is always recommended to consult the official guidelines and instructions provided by the relevant regulatory authority to ensure accurate and up-to-date information is provided on form374.

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What is form374 - rad-tech florida?

Form 374 - Rad-Tech Florida is a form used for registering and reporting information about radiologic technologists in the state of Florida.

Who is required to file form374 - rad-tech florida?

Radiologic technologists practicing in Florida are required to file form 374 - Rad-Tech Florida.

How to fill out form374 - rad-tech florida?

Form 374 - Rad-Tech Florida can be filled out online or by mail with all the required information about the radiologic technologist's education, certification, and employment history.

What is the purpose of form374 - rad-tech florida?

The purpose of form 374 - Rad-Tech Florida is to maintain a registry of radiologic technologists in the state, ensuring that they meet the necessary qualifications and standards.

What information must be reported on form374 - rad-tech florida?

Information such as the radiologic technologist's name, certification details, educational background, and employment history must be reported on form 374 - Rad-Tech Florida.

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