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How to use or fill out birth month licensure request with our platform
- Click ‘Get Form’ to open the birth month licensure request in the editor.
- Begin by selecting your preference for licensing. Check one of the options provided: either to wait until your birth month or to be licensed immediately, acknowledging that your initial license will be valid for less than a 24-month term.
- Fill in your printed name as it appears on Form L1A in the designated field.
- If known, enter your ATS# in the appropriate section.
- Provide your date of birth in the format mm/dd/yyyy.
- Sign and date the form at the bottom to confirm your application.
- Once completed, choose a submission method: submit with your initial application, fax it to (916) 263-2487, or mail it to the specified address.
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