Ophthalmic Dispensing Form 3 Certification of Ophthalmic Dispensing Licensure in Another Jurisdiction - New York

Ophthalmic Dispensing Form 3 Certification of Ophthalmic Dispensing Licensure in Another Jurisdiction - New York

What Is Ophthalmic Dispensing Form 3?

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.

FAQ

Q: What is Ophthalmic Dispensing Form 3?
A: Ophthalmic Dispensing Form 3 is a certification form for ophthalmic dispensing licensure in another jurisdiction.

Q: What does the certification of ophthalmic dispensing licensure in another jurisdiction mean?
A: It means that an ophthalmic dispenser is licensed to practice in a different state or country.

Q: Who needs to fill out Ophthalmic Dispensing Form 3?
A: Ophthalmic dispensers who are licensed in another jurisdiction and are applying for licensure in New York need to fill out this form.

Q: What information is required on Ophthalmic Dispensing Form 3?
A: The form requires personal information, details about the applicant's licensure in another jurisdiction, and any disciplinary history.

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Form Details:

  • Released on December 1, 2004;
  • The latest edition provided by the New York State Education Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Ophthalmic Dispensing Form 3 by clicking the link below or browse more documents and templates provided by the New York State Education Department.

Download Ophthalmic Dispensing Form 3 Certification of Ophthalmic Dispensing Licensure in Another Jurisdiction - New York

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