Transcription of 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.
transcript information. • Verification of Military Experience and Training (VMET) or DD Form 2586. See the DoDTAP website. • If applicable, application for the Evaluation of Learning Experiences During Military Service (DD Form 295). See the Military Resources website. DOH 667-029 September 2021 Page 3 of 3
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