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Nursing Assistant Registration Application

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Nursing Assistant Registration Application PacketContents:1. 667-025 ......Contents List/SSN Information/Mailing page2. 667-029 ...... Application Instructions Checklist ........................................ ........3 pages3. 667-001 ...... Nursing Assistant Registration Application .................................4 pages4. 667-038 ......Out-of-State Credential Verification Form .....................................1 page5. RCW/WAC and Online Website Links ........................................ ......................1 pageImportant Social Security Number Information:If you have a Social Security Number, the law requires you to disclose it on your Application for a professional or occupational license. 42 666(a)(13); RCW It will be used under the state s child support enforcement program to locate individuals for purposes of establishing paternity and establishing, modifying, and enforcing support obligations.

F Application Fee. This fee is non-refundable. You can check the online fee page for current fees. ... Active Duty, Member-4 or service 2 copy, or NGB-22 for National Guard. ... Stamp Here Note: The mailing and email addresses you provide will be your addresses of record. It is your

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