This version of the form is not currently in use and is provided for reference only. Download this version of Dentist Form 4B for the current year.
This is a legal form that was released by the New York State Education Department - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 4B?
A: Form 4B is a Certification of Completion of Clinical Residency Program for Dentists in New York.
Q: Who needs to fill out Form 4B?
A: Dentists who have completed a clinical residency program in New York need to fill out Form 4B.
Q: What is the purpose of Form 4B?
A: The purpose of Form 4B is to certify the completion of a clinical residency program for dentists in New York.
Q: What information is required on Form 4B?
A: Form 4B requires information such as the dentist's name, contact information, clinical residency program details, and dates of completion.
Q: Are there any fees associated with Form 4B?
A: No, there are no fees associated with Form 4B.
Q: How should Form 4B be submitted?
A: Form 4B should be completed and submitted to the New York State Education Department by mail.
Q: Is Form 4B specific to New York?
A: Yes, Form 4B is specific to dentists who have completed a clinical residency program in New York.
Q: What is the timeline for submitting Form 4B?
A: Form 4B should be submitted within 90 days of completion of the clinical residency program.
Form Details:
Download a printable version of Dentist Form 4B by clicking the link below or browse more documents and templates provided by the New York State Education Department.