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Click ‘Get Form’ to open the lmhca indiana application 2012 form in our editor.
Begin by filling out the 'Applicant Information' section. Enter your full name, current and permanent addresses, and contact numbers. Ensure accuracy as this information is crucial for processing your application.
Next, provide your Social Security number as required. Remember, this is mandatory for the application to be processed.
In the 'Graduate Education' section, list your academic institutions and degrees earned. Be sure to include dates attended and program titles.
Complete the 'Other State Licensure/Certification' section if applicable. List any licenses held in other states along with their details.
Affirm the accuracy of your statements by signing in the 'Application Affirmation' section and date it accordingly.
Finally, review all entries for completeness before saving or exporting your filled form for submission.

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