Officials Application - Department of Consumer Affairs - State of 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section 1. Enter your full name, including last, first, and middle names. Provide your home telephone number and address details, including city, state, zip code, and country.
3. Fill in your age and date of birth. Indicate your gender and provide your social security number as it is mandatory.
4. In Section 2, answer the questions regarding any financial interests in clubs or athletes by selecting 'Yes' or 'No' and providing additional details if applicable.
5. Proceed to Section 3 to disclose any previous licenses held and any actions taken against them. Ensure you list all relevant information accurately.
6. Complete Section 4 by providing emergency contact information including name, relationship, address, and phone number.
7. Review all sections for completeness before submitting the application along with the required fee and photographs.

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