Employment Verification Form - The Ohio Board of Speech - slpaud ohio 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and license number at the top of the form. Ensure accuracy as this information is crucial for verification.
3. Indicate your current employment status by selecting 'Yes' or 'No'. If employed, fill in your current employer's name, address, and supervisor's details.
4. Provide your job title and start date. If you supervise as an SLP or AUD, indicate this accordingly.
5. Detail your job duties in the provided space to give a clear picture of your responsibilities.
6. If applicable, complete section B regarding any practice under an expired license, including details for additional employers if necessary.
7. Finally, attest to the truthfulness of your responses by signing and dating the form before submission.

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