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Seattle Washington online Form 8404: What You Should Know
To do so, it will ask for your name, date of birth, sex, address, driver license number, and social security number. This information is public record and searchable at a public records office. If your social security number is not in the database or if your social security number is invalid, you will need to print your license and send it with a non-refundable fee of 15. You must have identification to collect the fingerprint, but the Department of Health assumes that you will have it. See for more information. Other Required Documents and Fees: A completed application packet for your Dental Hygiene Initial License (DHM-IC #2). Completed and signed form DD-215, Initial Dental Hygiene License (IMC) — Licensing Completed and signed form DD-220, Medical Certification — Inpatient Dental Hygiene Treatment Completed and signed form DD-221, Inpatient Dental Hygiene Treatment ICH Exam — Inpatient Dental Hygiene Treatment Completed and signed DD-215, Dental Hygiene Initial License (DHM) — Licensing, completed on the date of your initial Dental Hygiene Initial Licensing. Completed and submitted the Dental Hygiene Initial Licensed Exam Review Form (IMC) (see below) (IMC) (see below) Completed DD-220, License Application (IMC) — Licensing Completed DD-221, Inpatient Dental Hygiene Treatment, Dental Hygiene ICH Exam, and Licensing Application. (Must be able to provide evidence of a current inpatient and outpatient Dental Hygiene treatment and documentation of all current dental work, including all oral procedures, for which you have been issued a Dental Hygiene Initial License) (must be able to provide evidence of a current inpatient and outpatient Dental Hygiene treatment and documentation of all current dental work, including all oral procedures, for which you have been issued a Dental Hygiene Initial License) If you are not able to complete the Dental Hygiene Licensing Application Process, and you are interested in applying electronically, please complete the following Dental hygiene Licensing and License Application Process : Online Application — Download Form: Download Form To review or print the forms you must first have access to a printer and the Internet.
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