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Community Health Worker (CHW) Program MC1945 P.O. Box 149347 Austin, Texas 787149347 PHONE (512) 7762570 FAX (512) 7767555 chw@dshs.texas.gov Please return to TX by emailReciprocity Application for
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Reciprocity verification form A is a document used to verify that an individual has fulfilled certain requirements related to reciprocity agreements between jurisdictions, often concerning professional licensing.
Individuals seeking to obtain professional licensing in a new jurisdiction based on their credentials acquired in another jurisdiction are typically required to file reciprocity verification form A.
To fill out reciprocity verification form A, provide personal identification information, details of the professional qualifications and licenses, and supporting documentation of the reciprocity agreement.
The purpose of reciprocity verification form A is to confirm that an applicant meets the necessary criteria for professional licensing based on their qualifications from another jurisdiction.
The information that must be reported on reciprocity verification form A includes personal identification details, current and past licenses, education, and any disciplinary actions or complaints.
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