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NM Duplicate or Replacement Certificate of Licensure Application Form 2020-2026 free printable template

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Medical Imaging & Radiation Therapy Program P.O. Box 5469 Santa Fe, NM 875025469 Telephone (505) 4768633 Stephen. Sanchez state.nm.us https://www.env.nm.gov/rcb/mirtp/Duplicate or Replacement Certificates
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How to fill out NM Duplicate or Replacement Certificate of Licensure Application

01
Obtain the NM Duplicate or Replacement Certificate of Licensure Application form from the official website or licensing office.
02
Provide your full name as it appears on your original license.
03
Include your license number if available.
04
Select the appropriate reason for requesting a duplicate or replacement certificate.
05
Fill out your contact information, including your address, phone number, and email.
06
Attach any required supporting documents, such as a copy of your ID or a police report if the license was stolen.
07
Include a payment for the processing fee, if applicable, according to the instructions provided.
08
Review the application for accuracy and completeness.
09
Submit the application via mail or in person to the designated licensing authority.

Who needs NM Duplicate or Replacement Certificate of Licensure Application?

01
Individuals who have lost their original certificate of licensure.
02
Professionals whose certificate has been damaged and requires replacement.
03
Those who need a duplicate certificate for employment or verification purposes.
04
Any licensed individual who has recently changed their name and needs an updated certificate.
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The NM Duplicate or Replacement Certificate of Licensure Application is a formal request submitted to obtain a duplicate or replacement of a lost, damaged, or stolen certificate of licensure issued by the state of New Mexico.
Individuals who have lost, damaged, or need to replace their certificate of licensure issued by the state of New Mexico are required to file the NM Duplicate or Replacement Certificate of Licensure Application.
To fill out the NM Duplicate or Replacement Certificate of Licensure Application, an applicant needs to provide personal identification details, such as name, address, and social security number, as well as specify the reason for the duplicate or replacement request.
The purpose of the NM Duplicate or Replacement Certificate of Licensure Application is to ensure that individuals can receive a valid legal document certifying their licensure, which might be necessary for employment or compliance with regulatory requirements.
The information that must be reported on the NM Duplicate or Replacement Certificate of Licensure Application includes the applicant's full name, contact information, license number, details about the original certificate, and the reason for requesting a duplicate or replacement.
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