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- Click ‘Get Form’ to open the Disciplinary Actions Disclosure in the editor.
- Begin by carefully reading the introduction section, which outlines the importance of disclosing any misdemeanor or felony convictions since your last license renewal.
- Proceed to Section 1, where you will answer questions regarding any professional licenses that have been denied, suspended, or revoked. Select 'YES' or 'NO' for each question.
- Continue through Sections 2 to 15, providing truthful answers about any disciplinary actions, judgments, or convictions. Ensure you check all relevant boxes as required.
- If you answered 'YES' to any questions in Sections 1 through 14, complete the follow-up questions regarding previous disclosures and provide approximate dates.
- Finally, review your responses for accuracy and completeness before signing and dating the form at the bottom.
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