Form Doh 672-033 - Veterinary License Application Packet

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Veterinary License Application Packet
Contents:
1. 672-033 .........Contents List/SSN Information/ Mailing Information .................1 page
2. 672-081 .........Application Instructions Checklist ........................................... 2 pages
3. 672-043 .........License Requirements............................................................. 2 pages
4. 672-001 .........Veterinary Medicine, Surgery and Dentistry Application.......... 5 pages
5. 672-025 .........Out-of-State Credential Verification ...........................................1 page
6. RCW/WAC and Online Website Links .............................................................1 page
Important Social Security Number Information:
You are required by state and federal law to provide a social security number with your
application. If you do not have a social security number at the time you send in this
application, please read, complete, and return this
form
with your application.
A U.S. Individual Taxpayer Identification Number (ITIN) or a Canadian Social Insurance
Number (SIN) cannot be substituted.
In order to process your request:
Mail your application with initial
documentation and your check
Send other documents not sent
or money order payable to:
with initial application to:
Department of Health
Veterinarian Board of Governors
P.O. Box 1099
Credentialing
Olympia, WA 98507-1099
P.O. Box 47877
Olympia, WA 98504-7877
Contact us:
360-236-4700
DOH 672-033 August 2016

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Parent category: Business