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Duplicate Pocket License Card - ok 2026
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- Click ‘Get Form’ to open the Duplicate Pocket License Card application in the editor.
- Begin by entering the date at the top of the form. This is essential for processing your application.
- Fill in your OK License/Certificate number and Social Security number in the designated fields.
- Provide your date of birth, ensuring accuracy as it verifies your identity.
- Select whether you are an RN, LPN, or AUA by checking the appropriate box.
- Complete your name details: first, middle, maiden (if applicable), and last name.
- Input your mailing address, including city, state, and zip code for correspondence.
- Enter your telephone number and email address for any follow-up communication.
- In the section requesting a duplicate card reason, provide a brief explanation of why you need a duplicate.
- Sign the affidavit at the bottom of the form. Remember to sign in ink; do not print your name.
Start filling out your Duplicate Pocket License Card application online for free today!
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2013 | 4 Satisfied (36 Votes) |
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For each duplicate license or pocket card, where the original is lost or destroyed, and a written request is made, a fee of Seven Dollars and fifty cents ($7.
To request a duplicate or replacement license, submit an Application for a Duplicate/Replacement License form (17A-28) and issuance fee, if applicable.Read more
Dec 23, 1998 Until this process is completed, a copy of this protocol can be obtained by contacting Cathy Vogel at (703). 696-2118 or via email vogelc@acq.Read more