Form 08-609 - Application To Practice Veterinary Medicine (Page 3 of 14) in pdf

GENERAL INFORMATION:

RENEWAL INFORMATION : All licenses expire on December 31 of even-numbered years, regardless of when issued,

except new licenses issued within 90 days of the expiration date are issued through the next biennium.

CONTINUING COMPETENCY REQUIREMENTS: Licensees shall complete 30 contact hours of continuing education

acceptable to the board for the concluding two-year licensing period.

FEDERAL HEALTH CERTIFICATES: A veterinarian who does not hold a current permanent license in this State is

prohibited from issuing federal health certificates needed for interstate travel. Temporary licenses and temporary permits

are NOT permanent licenses.

ADDRESS CHANGE: In accordance with 12 AAC 02.900, a person must notify the division in writing of a change of

address. We will accept a fax, e-mail, or written notice that comes directly from the licensee or applicant. We will not

accept a telephone call for a change of address. A change of address form may be obtained from the division’s website

at: under Professional Licensing.

SOCIAL SECURITY NUMBER: In accordance with AS 08.01.060, the department is not authorized to issue a license

unless the applicant's social security number has been provided to the department. If you do not have a social security

number, you may download the Request for Exception from Social Security Number Requirement form at

or contact the division.

PUBLIC INFORMATION: Please be aware that all information on the initial application form will be available to the public,

unless required to be kept confidential by state or federal law. Information about current licensees, including mailing

addresses, is available on the division’s website at: under License Search.

PAYMENT OF CHILD SUPPORT AND STUDENT LOANS: If the Alaska Commission on Postsecondary Education has

determined you are in loan default or if the Alaska Child Support Enforcement Division has determined you are in arrears

on child support, you will be issued a nonrenewable temporary license valid for 150 days. Contact Postsecondary

Education at 1-800-441-2962 or (907) 465-2962 or Child Support Services at (907) 269-6657 if your last name begins

with A – M; Contact (907) 269-6845 if your last name begins with N – Z; or 1-800-478-3300 to resolve payment issues.

SPECIAL ACCOMMODATIONS FOR EXAMINATION: Programs under the jurisdiction of the Division of Corporations,

Business and Professional Licensing are administered in accordance with the Americans with Disabilities Act. If you

require an examination accommodation, you must submit a completed Application for Examination Accommodation for

Candidates with Disabilities form. This form is available on the division’s website at: or

contact the division to request the form.

STATUTES AND REGULATIONS: The complete set of Board of Veterinary Examiner Statutes and Regulations is

available on the board’s website at: . If you are unable to download the statutes and

regulations, please contact the division and request a copy by mail.

DENIAL OF APPLICATION: Please be aware that the denial of an application for licensure may be reported to any

person, professional licensing board, federal, state or local government agency, or other entity making a relevant inquiry

or as may be required by law.

08-609 (Rev. 09/23/16)

Instructions Page 3 of 3

Form 08-609 - Application To Practice Veterinary Medicine Page 3