Ohio Form Rcb 020 PDF Details

For individuals embarking on their careers within the respiratory care field in Ohio, navigating the bureaucratic waters to ensure all credentials are properly verified can be a crucial step. The Ohio Respiratory Care Board's RCB 020 form, specifically designed for this purpose, acts as a bridge between the applicant and the National Board for Respiratory Care, Inc. (NBRC), ensuring that one's professional qualifications are officially recognized by state agencies. This form not only facilitates the verification of various NBRC credentials such as Registered Respiratory Therapist (RRT), Certified Pulmonary Function Technologist (CPFT), and several others, but it also outlines the associated fees, which are determined based on the applicant's membership status with the NBRC. By diligently completing Section 1 and submitting it with the necessary fee, applicants are able to request credential verification directly from the NBRC, thereby making a significant step towards state licensure. Moreover, the attention to detail demanded by the form, including the provision of personal details and a signature, ensures a thorough and secure process. In essence, the RCB 020 form serves as an indispensable tool for respiratory care professionals in Ohio, streamlining the verification process and setting them on the path to official recognition and licensure.

QuestionAnswer
Form NameOhio Form Rcb 020
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesRCB, OHIO, CPFT, NBRC

Form Preview Example

NBRC CREDENTIAL VERIFICATION FORM

OHIO RESPIRATORY CARE BOARD 77 S. High Street, 16th Floor Columbus, Ohio 43215-6108 614.752.9218 www.state.oh.us/rsp

TO APPLICANT:

The National Board for Respiratory Care, Inc. (NBRC) requires a fee to verify professional credentials. Please complete Section 1 below and submit it, along with the required fee to:

NBRC Executive Office

18000 W. 105th Street

Olathe, KS 66061-7543

FEES (Based on active or inactive NBRC membership):

$5 fee for active members $20 fee for inactive members

SECTION 1:

_____ I am applying for state licensure in (STATE NAME __________________), and I am requesting

the NBRC to verify my credential(s) directly to the (STATE AGENCY

______________________________).

I hold the following NBRC credentials:

____ RRT____ CPFT

____ CRT-NPS

____ CRT____ RPFT

____ RRT-NPS

PRINT NAME UNDER WHICH YOU WERE CREDENTIALED:

_______________________________________________________________

Last

First

Middle Initial

Former Name

COMPLETE THE INFORMATION BELOW:

 

_______ - _______ - ________

Social Security Number

_______________________________________________________________

LastFirst Middle Initial Former Name

_______________________________________________________________

Street /Apt. #

_______________________________________________________________

CityState Zip Code

_______________________________________________________________

Business PhoneHome Phone

_______________________________________________________________

Signature

Date

RCB 020 (4/07) This form supersedes all previous editions

 

How to Edit Ohio Form Rcb 020 Online for Free

We've applied the hard work of the best software engineers to develop the PDF editor you are about to make use of. Our application will enable you to complete the 16th file without any difficulty and don’t waste valuable time. Everything you need to do is comply with the next simple recommendations.

Step 1: Choose the "Get Form Here" button.

Step 2: So you should be on the form edit page. You can include, adjust, highlight, check, cross, add or erase areas or words.

In order to create the 16th PDF, enter the information for all of the parts:

part 1 to filling out CPFT

Inside the area City, State Zip Code, Business Phone, Home Phone, Signature, Date, and RCB This form supersedes all note the data the program requires you to do.

CPFT City, State Zip Code, Business Phone, Home Phone, Signature, Date, and RCB This form supersedes all fields to insert

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