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Click ‘Get Form’ to open it in the editor.
Begin with the APPLICATION LEVEL section. Mark the box corresponding to the permit you wish to obtain, ensuring your current license matches the level you are applying for.
In the NAME section, clearly enter your last name, middle name, and first name as required.
Fill in the BUSINESS NAME AND ADDRESS OF RECORD with your business or employer's name and physical address. This information is public record.
If your mailing address differs from your business address, complete the MAILING ADDRESS section accordingly.
Provide your PHYSICAL HOME ADDRESS without using a P.O. Box. Ensure accuracy for verification purposes.
Complete additional fields such as STATE CURRENTLY LICENSED, EXPIRATION DATE, and contact numbers as specified in the form.
Finally, review all entries for accuracy before signing and dating the application at the bottom of the form.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (102 Votes)
2013	4.4 Satisfied (46 Votes)

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