Lic 198a 2026

1. Click ‘Get Form’ to open the lic 198a in the editor.
2. Begin by filling in your personal information. Enter your full name, including last, first, and middle names as required.
3. Provide your Social Security Number and date of birth in the specified format (month, day, year).
4. List all other names you have ever used, including maiden names and any aliases.
5. Fill in your current address details: street, city, state, and zip code.
6. Indicate your facility telephone number and driver’s license number.
7. Select the appropriate personnel type options that apply to you from the provided list.
8. Review all entered information for accuracy before submitting. Ensure that you include the $15 fee for processing.

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