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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 647-016
for the current year.
DOH Form 647-016 Experience Certification - Washington
What Is DOH Form 647-016?
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 647-016?
A: DOH Form 647-016 is the Experience Certification form used in Washington.
Q: What is the purpose of DOH Form 647-016?
A: The purpose of DOH Form 647-016 is to certify the applicant's work experience in a healthcare-related field.
Q: Who needs to complete DOH Form 647-016?
A: Individuals applying for certain healthcare licenses in Washington may need to complete DOH Form 647-016.
Q: Is there a fee for submitting DOH Form 647-016?
A: There is no fee for submitting DOH Form 647-016.
Form Details:
- Released on July 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 647-016 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
