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DEPARTMENT OF HEALTH & FAMILY SERVICES Division of Public Health DPH 7471 (07/03) STATE OF WISCONSIN Chapter 110, Wis. Admin. Code (608) 266-1568 EMERGENCY MEDICAL TECHNICIAN VERIFICATION OF LICENSURE
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How to fill out technician verification of licensure

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How to fill out technician verification of licensure:

01
Visit the appropriate licensing board website or office to obtain the technician verification of licensure form.
02
Fill out your personal information accurately, including your full name, contact information, and social security number.
03
Provide details about your current licensure, including the type of license and the license number.
04
Indicate the date of issuance and expiration of your license.
05
If your license has been suspended or revoked in the past, disclose this information and provide any relevant documentation.
06
Sign and date the form, certifying that the information provided is true and accurate to the best of your knowledge.
07
Submit the completed technician verification of licensure form to the licensing board through the designated method, such as mailing it or submitting it online.
08
Keep a copy of the completed form and any supporting documents for your records.

Who needs technician verification of licensure:

01
Individuals applying for employment in a field that requires a specific license, such as pharmacy technicians or medical laboratory technicians, may need to submit a technician verification of licensure.
02
Employers may require technician verification of licensure to verify the qualifications and credentials of potential employees.
03
Regulatory agencies, such as state licensing boards, may request technician verification of licensure for auditing purposes or to ensure compliance with licensing regulations.
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Technician verification of licensure is a process where a licensed technician's credentials are verified by the regulatory body to ensure compliance with the licensing requirements.
All licensed technicians are required to file technician verification of licensure.
Technicians can fill out the verification of licensure form provided by the regulatory body and submit it along with any required documentation.
The purpose of technician verification of licensure is to ensure that licensed technicians are in good standing and meet the necessary requirements to practice.
Technicians must report their personal information, license number, expiration date, continuing education credits, and any disciplinary actions.
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