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How to use or fill out the Arkansas EMT Patch Order Form with DocHub
- Click ‘Get Form’ to open the Arkansas EMT Patch Order Form in our editor.
- Begin by filling in your personal information. In the 'NAME' section, enter your last name, first name, and middle initial as required.
- Next, provide your complete 'ADDRESS', including street address, city, state, and ZIP code. Ensure all details are accurate for proper delivery.
- In the 'COUNTY' field, specify your county of residence. This is important for eligibility verification.
- Select the items you wish to order by indicating the 'QUANTITY' next to each patch or rocker type. Remember that only certified Arkansas EMTs may order these items.
- Calculate the total amount due based on the quantities selected and write it in the 'TOTAL ENCLOSED' section.
- Finally, send a certified check or money order to the specified address of the Arkansas Department of Health.
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See more arkansas emt patch order form versions
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2007 | 4.9 Satisfied (45 Votes) |
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