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Get 2013 Renewal Form - State Of Oklahoma - Ok

Oswb.ok.gov Email: courtney.hunter oswb.ok.gov Do Not Write In This Space - Board Use Only Renewal fee $100 if postmarked by 12/31/14 Late fee of $50 assessed after 12/31/14 LICENSURE RENEWAL 2015 Renewal will not be processed without license number Name: License #: Home Address: City, State, Zip Home E-mail: Home Phone: Employer: Work Address: City, State, Zip Work E-mail Work Phone: The Board is responsible for maintaining accurate data on all social workers licensed in Oklahoma.

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