Wa doh expired: Fill out & sign online

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Click ‘Get Form’ to open the wa doh expired application in the editor.
Begin by filling out the Demographic Information section. Enter your Social Security Number, full legal name, birth date, and contact details including address, phone numbers, and email.
In the Other License, Certification, or Registration section, list all credentials held since your last credentialing in Washington State. Ensure to include your last active credential.
Detail your Professional Experience chronologically since your license expired. Include start and end dates for each position.
Complete the Disciplinary Action Attestation by certifying that no actions have been taken against you that would restrict your practice rights.
Fill out the Continuing Education Attestation if applicable, confirming you have met all requirements for the past two years.
Finally, sign and date the Applicant’s Attestation to affirm that all information provided is accurate and complete.

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