Transcription of Medical Assistant-Phlebotomist Certification Application ...
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Medical Assistant-Phlebotomist Certification Application ...
DOH 651-007 September 2021 Medical Assistant-Phlebotomist Certification Application PacketContents: 1. 651-007 ..Contents List/SSN Information/Mailing Information ..1 page2. 651-008 .. Application Instructions pages3. 651-009 ..Credentialing page4. 651-010 .. Medical Assistant-Phlebotomist Certification Application ..5 pages5. 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.
Medical Assistant-Phlebotomist Certification Application Packet Contents: ... you are still eligible to apply for and obtain a credential if you meet the requirements. Please see the Declaration of No Social Security Number ... Qualifications and Training Attestation: You must meet the Qualification and Training Requirements. You must sign and
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