DOH Form 505-089 Credential Status Change Form - Washington

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 Washington.

Q: What is the purpose of DOH Form 505-089?
A: DOH Form 505-089 is used to request changes to a credential status in Washington.

Q: Who needs to use DOH Form 505-089?
A: Anyone who wants to request changes to their credential status in Washington needs to use DOH Form 505-089.

Q: Are there any fees associated with submitting DOH Form 505-089?
A: The Washington State Department of Health may charge fees for processing the form. It is best to check with them for the current fee schedule.

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Form Details:

  • Released on November 1, 2022;
  • 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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