External Payment App

Please provide this information so your request can be processed sufficiently, within 7-10 business days.

The State Board you need the license verification for and the method in which you wish for that to be sent.

-Email: please provide state board's email address

-USPS: please provide state board's name and mailing address.

Fee Type

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Fee Amount

Name

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Phone

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Email

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License # (If Applicable)

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Comments (If Applicable)

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Please acknowledge that clicking the 'Go To Payment' button below will take you to an external payment provider, where you will process your payment for this fee.

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