Term 082

Your status may be changed from inactive to active if you have received paid employment in the provision of nursing services. You must submit a copy of your social security card, proof of employment, return address, and daytime telephone number. Proof of employment may include: (1) a letter from your employer on official letterhead verifying dates of employment, position held, and job duties; (2) copy of W-2 form; (3) copy of pay stubs; or (4) Social Security employment statement. Submit the above information to: Department of Health and Senior Services, Attn: Health Education Unit, . Box 570, Jefferson City, MO 65102.

Term 082

term 082

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