Application for Relicensure - Licensing and Regulatory Affairs - dleg state mi 2026

1. Click ‘Get Form’ to open the Application for Relicensure in the editor.
2. Begin by entering your full name (First, Middle, Last) in the designated field. Ensure accuracy as this will be used for official records.
3. Input the last four digits of your U.S. Social Security Number. This information is crucial for identification purposes.
4. Fill in your current address, including city, state, and zip code. Make sure this reflects your permanent residence.
5. Provide a valid telephone number and email address for communication regarding your application.
6. Answer the questions regarding felony convictions and unsatisfied penalties truthfully by selecting 'Yes' or 'No'.
7. Review the certification statement carefully before signing and dating it to confirm that all information is accurate.
8. Select the appropriate fee payment option based on your license type and ensure you understand that fees are non-refundable.

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