Creating a Report: Check the sections you'd like to appear in the report, then use the "Create Report" button at the bottom of the page to generate your report. Once the report is generated you'll then have the option to download it as a pdf, print or email the report.
Hearing Aid Specialist License Application, A440-2101LIC-v3 (rev. 2/2017)
Hearing Aid Specialist Temporary Permit Application, A440-2102TP_PKG-v4 (rev. 2/2017)
Hearing Aid Specialist License Reinstatement Application, A440-2101REI-v3 (rev. 2/2017)
Hearing Aid Specialist Re-examination Application, A440-2101REEX-v2 (rev. 9/2013)
Hearing Aid Specialist Training & Experience Form, A440-21TREXP-v2 (eff. 9/2013)
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