Form PH-4072 Affidavit for Downgrade of EMS License - Tennessee

What Is Form PH-4072?

This is a legal form that was released by the Tennessee Department of Health - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on March 1, 2019;
• The latest edition provided by the Tennessee 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 fillable version of Form PH-4072 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Health.