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This version of the form is not currently in use and is provided for reference only. Download this version of
DOH Form 505-089
for the current year.
DOH Form 505-089 Credential Status Change Form - Washington
What Is DOH Form 505-089?
This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH Form 505-089?
A: DOH Form 505-089 is the Credential Status Change Form used in the state of Washington.
Q: What is the purpose of DOH Form 505-089?
A: The purpose of DOH Form 505-089 is to request a change in credential status.
Q: Who uses DOH Form 505-089?
A: DOH Form 505-089 is used by individuals in Washington who hold a professional credential.
Q: How do I fill out DOH Form 505-089?
A: To fill out DOH Form 505-089, provide the requested information, indicate the type of status change requested, and submit the form according to the instructions.
Q: Are there any fees associated with DOH Form 505-089?
A: There may be fees associated with certain status changes requested on DOH Form 505-089. Check the instructions or contact the Washington State Department of Health for more information.
Form Details:
- Released on February 1, 2016;
- The latest edition provided by the Washington State Department of Health;
- 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 DOH Form 505-089 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 505-089 Credential Status Change Form - Washington
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