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State of Utah DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING 160 East 300 South, P.O. Box 146741 Salt Lake City, Utah 841146741 Telephone (801) 5306628 www.dopl.utah.gov PHYSICIAN ASSISTANT NOTIFICATION

How to fill out 091panotificationofchangedoc - dopl utah

How to fill out 091panotificationofchangedoc - dopl utah?

1. Start by accessing the official website of the Utah Division of Occupational and Professional Licensing (DOPL).
2. Look for the "Forms" section on the website and locate the form 091panotificationofchangedoc.
3. Download the form and open it using a PDF reader or print it out if you prefer a hard copy.
4. Begin by providing your personal information in the designated sections, such as your name, address, contact number, and email address.
5. Next, indicate the type of change you are notifying DOPL about. This could include changes in your name, address, employment, or other relevant details.
6. Fill out the necessary details related to the change in the appropriate sections. Provide accurate and up-to-date information to ensure a smooth process.
7. If there are any additional documents or supporting evidence required to complete the notification, include them along with the form.
8. Double-check all the information you have entered to ensure it is accurate and complete.
9. Once you are satisfied with the form, submit it to DOPL according to the provided instructions. This may involve mailing it to a specific address or submitting it online through the DOPL website.
10. After submission, make sure to keep a copy of the filled-out form and any supporting documents for your records.

Who needs 091panotificationofchangedoc - dopl utah?

1. Individuals who hold a professional or occupational license in Utah may need to fill out form 091panotificationofchangedoc - dopl utah.
2. This form is typically used to notify the Utah Division of Occupational and Professional Licensing (DOPL) of any changes in personal or professional information.
3. Examples of individuals who may need to fill out this form include licensed healthcare professionals, real estate agents, contractors, cosmetologists, and many others.
4. It is important to check with DOPL or refer to their website for specific instructions on whether this form is applicable to your profession or situation.
5. Filling out this form and notifying DOPL about changes ensures proper record-keeping and compliance with licensing regulations in the state of Utah.

For pdfFiller’s FAQs

What is 091panotificationofchangedoc - dopl utah?

It is a form used to notify the Division of Occupational and Professional Licensing (DOPL) in Utah of changes in a licensee's information or practice.

Who is required to file 091panotificationofchangedoc - dopl utah?

Licensees in certain professions regulated by DOPL in Utah are required to file this form when there are changes in their information or practice.

How to fill out 091panotificationofchangedoc - dopl utah?

The form can be filled out online on the DOPL website or submitted via mail. Licensees need to provide updated information and details of the changes.

What is the purpose of 091panotificationofchangedoc - dopl utah?

The purpose of this form is to keep DOPL updated on any changes in a licensee's information or practice to ensure compliance with regulations.

What information must be reported on 091panotificationofchangedoc - dopl utah?

Licensees need to report changes in contact information, practice location, employment status, disciplinary actions, and any other relevant information.

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