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DOH Form 677-012 Prosthetist Expired License Application Packet - Washington
What Is DOH Form 677-012?
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 677-012?
A: DOH Form 677-012 is the Prosthetist Expired License Application Packet.
Q: What is the purpose of DOH Form 677-012?
A: The purpose of DOH Form 677-012 is to apply for an expired license as a prosthetist in Washington state.
Q: Who needs to fill out DOH Form 677-012?
A: Prosthetists in Washington whose licenses have expired need to fill out DOH Form 677-012.
Q: Can this form be used to apply for a new license?
A: No, DOH Form 677-012 is specifically for applying for an expired license, not a new license.
Form Details:
- Released on September 1, 2021;
- 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 677-012 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 677-012 Prosthetist Expired License Application Packet - Washington
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