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450 Simmons Way #700 Maysville, UT 84037 (801) 5479947 www.utahcna.comDUPLICATE CERTIFICATE APPLICATION This application can be mailed to:Utah Nursing Assistant Registry 450 Simmons Way #700 Maysville,
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How to fill out duplicate certificate application

01
Step 1: Obtain a duplicate certificate application form from the respective government authority or department that issued the original certificate.
02
Step 2: Fill out the application form with accurate and complete information.
03
Step 3: Attach any required supporting documents, such as identification proof or affidavit stating the reason for the duplicate certificate request.
04
Step 4: Pay the prescribed application fee, if applicable.
05
Step 5: Submit the filled application form along with the supporting documents and fee payment to the concerned authority.
06
Step 6: Keep a copy of the submitted application and fee payment receipt for future reference.
07
Step 7: Wait for the processing of the application. The duration may vary depending on the issuing authority.
08
Step 8: Once the duplicate certificate is issued, collect it from the respective government authority or department by following their instructions.

Who needs duplicate certificate application?

01
Anyone who has lost or damaged their original certificate and requires a duplicate copy.
02
Individuals who need to provide a duplicate certificate as proof of their qualifications or credentials.
03
People who need to replace a certificate due to errors or changes in personal information.
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A duplicate certificate application is a formal request submitted to obtain a copy of a previously issued certificate that has been lost, stolen, or damaged.
Individuals or entities that have lost, damaged, or need a replacement for their original certificate are required to file a duplicate certificate application.
To fill out a duplicate certificate application, provide all required personal information, details about the original certificate, the reason for requesting a duplicate, and any supporting documentation as specified by the issuing authority.
The purpose of a duplicate certificate application is to officially seek a replacement for a lost or damaged certificate, ensuring that individuals or entities retain legal documentation of their credentials or entitlements.
The information that must be reported includes the applicant's full name, address, contact information, details of the original certificate (such as type, number, and issue date), and the reason for requesting the duplicate.
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