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BOARD OF EXAMINERS FOR SPEECHLANGUAGE PATHOLOGY AND AUDIOLOGY 2021 DEACTIVATION FORM 690:1097. Inactive status fee A onetime fee of twenty-five dollars ($25.00) shall be charged a licensed speech
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A deactivation form is a document used to formally terminate a service, account, or registration with an organization or agency.
Individuals or entities who wish to discontinue a service, account, or registration are required to file a deactivation form.
To fill out a deactivation form, provide all required personal or organizational information, state the reason for deactivation, and sign and date the form as instructed.
The purpose of a deactivation form is to officially notify an organization of the intent to terminate a service or membership and to ensure that all necessary procedures are followed.
Information typically required on a deactivation form includes the account holder's name, account number, reason for deactivation, and contact information.
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