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The Nebraska Dental Hygienists Association invites you to attend a Legislative Breakfast with your Senator Friday, February 21, 2014 7:30-9:00 a.m. Billy s Restaurant (North Entrance Only) 1301 H
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How to fill out form Nebraska dental hygienists:
01
Start by downloading the form from the official Nebraska Department of Health and Human Services website.
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Carefully read the instructions provided with the form to understand the requirements and necessary information.
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Provide your personal details such as name, address, contact information, and social security number where required.
04
Fill in your educational background, including the name of the dental hygiene program you attended and the date of graduation.
05
Include details about your dental hygiene license, such as the license number, issuance date, and expiration date.
06
Fill out the section regarding any professional disciplinary actions, if applicable, providing accurate information.
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If you have changed your name, provide the necessary documentation to support the name change.
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Sign and date the form before submitting it to the appropriate authority.
Who needs form Nebraska dental hygienists:
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Individuals who have completed a dental hygiene program in Nebraska and are seeking licensure as dental hygienists.
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Dental hygienists who are already licensed in another state or country and wish to practice in Nebraska.
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Individuals who have experienced a name change and need to update their information with the Nebraska Department of Health and Human Services.
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