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Form A-1 Initial Voluntary Temporary License / Certificate Surrender - Ohio
What Is Form A-1?
This is a legal form that was released by the Ohio Board of Nursing - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form A-1?
A: Form A-1 is the Initial Voluntary Temporary License/Certificate Surrender form in Ohio.
Q: What is the purpose of Form A-1?
A: The purpose of Form A-1 is to surrender a license or certificate on a temporary basis in Ohio.
Q: Who needs to fill out Form A-1?
A: Anyone who wants to voluntarily surrender their license or certificate temporarily in Ohio.
Q: Is there a fee for submitting Form A-1?
A: There is no fee for submitting Form A-1.
Q: What information is required on Form A-1?
A: Form A-1 requires information such as personal details, license or certificate number, reason for surrender, and dates of surrender.
Q: What happens after submitting Form A-1?
A: After submitting Form A-1, the license or certificate will be temporarily suspended or surrendered, and you may need to follow additional steps to reinstate it in the future.
Form Details:
- Released on January 1, 2019;
- The latest edition provided by the Ohio Board of Nursing;
- 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 Form A-1 by clicking the link below or browse more documents and templates provided by the Ohio Board of Nursing.
Download Form A-1 Initial Voluntary Temporary License / Certificate Surrender - Ohio
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