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Get the free Request for Duplicate Certificate of Registration - Oregon.gov - oregon

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OREGON MEDICAL BOARD 1500 SW 1st Avenue, #620 Portland, OR 97201-5847 Phone (971) 673-2700 Fax (971) 673-2672 www.oregon.gov/omb Request for Duplicate Certificate of Registration Date: Name License
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How to fill out request for duplicate certificate

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How to fill out a request for duplicate certificate:

01
Obtain a request form for a duplicate certificate. This can usually be obtained from the institution or organization that issued the original certificate.
02
Fill out personal information such as your full name, contact details, and any identification numbers required on the form.
03
Provide specific details about the certificate you are requesting a duplicate for, such as the type of certificate, the date it was issued, and any additional information that may be relevant.
04
Clearly state the reason for requesting a duplicate certificate. This could be due to loss, damage, or other circumstances.
05
Attach any supporting documents that may be required or helpful in processing your request, such as a police report (in case of a lost certificate) or a copy of the damaged certificate.
06
Make sure to sign and date the request form before submitting it.
07
Submit the completed request form along with any necessary fees, if applicable, according to the instructions provided by the institution or organization.

Who needs a request for a duplicate certificate:

01
Individuals who have lost or misplaced their original certificate and need a replacement copy.
02
Individuals whose original certificate has been damaged and is no longer in a suitable condition for use.
03
Individuals who require multiple copies of their certificate for various purposes, such as applying for jobs or academic programs.
In summary, anyone who needs a duplicate certificate due to loss, damage, or the need for multiple copies should submit a request in the specified format, providing all the necessary information and supporting documents.
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A request for a duplicate certificate is a formal application to obtain a replacement copy of a certificate that has been lost, damaged, or stolen.
Any individual or organization that needs a replacement copy of a certificate is required to file a request for a duplicate certificate.
To fill out a request for a duplicate certificate, one must provide personal information, details of the certificate being requested, and any necessary supporting documentation.
The purpose of a request for a duplicate certificate is to obtain a replacement copy of a certificate that is needed for official or personal reasons.
The information reported on a request for a duplicate certificate typically includes the name of the certificate holder, the type of certificate being requested, and the reason for the request.
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