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Get Additional Other State Reference Form - Nevada State Contractors ...

89074 (702) 486-1100 FAX (702) 486-1190, INVESTIGATIONS (702) 486-1110 www.nscb.nv.gov OUT - OF - STATE LICENSE VERIFICATION FORM THIS FORM MUST BE COMPLETED WHEN APPLYING FOR EXAM WAIVER BASED ON RECIPROCITY WITH ARIZONA, CALIFORNIA, OR UTAH Applicant Name INSTRUCTION TO APPLICANT Company Name Insert your name and address and complete the top portion of this request. Give the form to the appropriate agency. The verifying agency.

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