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The Ohio RCB 020 form serves as a crucial document for individuals in the respiratory care field seeking licensure within the state. Tailored to streamline the verification process of professional credentials by the National Board for Respiratory Care, Inc. (NBRC), this form mandates a clear set of steps and a fee that varies depending on the applicant's membership status with NBRC. Active members are required to pay a lesser fee compared to inactive ones, reflecting the ongoing engagement with the Respiratory Care community. By completing Section 1 of this form, applicants signal their request to have their NBRC credentials officially verified and sent directly to the state agency handling their licensure. It is essential for applicants to provide a comprehensive spectrum of personal information, including their social security number, current and former names, as well as contact details, to ensure a smooth verification process. With the information thoroughly provided and the appropriate fee submitted, the path towards state licensure becomes clearer, facilitating professionals in taking the next steps in their respiratory care careers in Ohio.

Example - Ohio Rcb 020 Form

NBRC CREDENTIAL VERIFICATION FORM

OHIO RESPIRATORY CARE BOARD 77 S. High Street, 16th Floor Columbus, Ohio 43215-6108 614.752.9218 www.state.oh.us/rsp

TO APPLICANT:

The National Board for Respiratory Care, Inc. (NBRC) requires a fee to verify professional credentials. Please complete Section 1 below and submit it, along with the required fee to:

NBRC Executive Office

18000 W. 105th Street

Olathe, KS 66061-7543

FEES (Based on active or inactive NBRC membership):

$5 fee for active members $20 fee for inactive members

SECTION 1:

_____ I am applying for state licensure in (STATE NAME __________________), and I am requesting

the NBRC to verify my credential(s) directly to the (STATE AGENCY

______________________________).

I hold the following NBRC credentials:

____ RRT____ CPFT

____ CRT-NPS

____ CRT____ RPFT

____ RRT-NPS

PRINT NAME UNDER WHICH YOU WERE CREDENTIALED:

_______________________________________________________________

Last

First

Middle Initial

Former Name

COMPLETE THE INFORMATION BELOW:

 

_______ - _______ - ________

Social Security Number

_______________________________________________________________

LastFirst Middle Initial Former Name

_______________________________________________________________

Street /Apt. #

_______________________________________________________________

CityState Zip Code

_______________________________________________________________

Business PhoneHome Phone

_______________________________________________________________

Signature

Date

RCB 020 (4/07) This form supersedes all previous editions

 

Document Properties

Fact Description
Form Name Ohio RCB 020 Form
Purpose For verifying credentials with the National Board for Respiratory Care, Inc. (NBRC)
Applicable to Individuals applying for state licensure in respiratory care
Address for Submission NBRC Executive Office, 18000 W. 105th Street, Olathe, KS 66061-7543
Fees $5 for active NBRC members, $20 for inactive members
Governing Body Ohio Respiratory Care Board
Law Governing Respiratory care licensing requirements are governed by the Ohio Revised Code and administrative rules adopted by the Ohio Respiratory Care Board
Latest Version RCB 020 (April 2007); Supersedes all previous editions

Detailed Instructions for Using Ohio Rcb 020

Completing the Ohio RCB 020 form is a key step for respiratory care professionals seeking state licensure verification of their credentials from the National Board for Respiratory Care, Inc. (NBRC). This form, along with the appropriate fee, needs to be submitted to the NBRC Executive Office. Following these steps ensures that your credentials are verified smoothly and efficiently, facilitating compliance with Ohio Respiratory Care Board requirements. Remember, submitting accurate and complete information is crucial for the verification process.

  1. Start by putting a check mark in the box corresponding to your current status regarding state licensure in the space provided (state you are applying for licensure in).
  2. Write the name of the state agency where you are requesting your NBRC credentials to be sent.
  3. Indicate which NBRC credentials you hold by checking the appropriate boxes for RRT, CPFT, CRT-NPS, CRT, RPFT, or RRT-NPS.
  4. Print the name under which you were credentialed in the space provided, including your last name, first name, and middle initial. If you have a former name, include it as well.
  5. Enter your Social Security Number in the specified format.
  6. Below your Social Security Number, repeat writing your name, including your last name, first name, middle initial, and any former names you have.
  7. Provide your complete address, including the street or apartment number, city, state, and zip code in the spaces designated.
  8. Add your business phone and home phone numbers in the corresponding fields.
  9. Sign and date the form in the spaces provided at the bottom to validate the information you’ve provided.
  10. Review the entire form to ensure all information is accurate and complete. Make any necessary corrections before proceeding to the next step.
  11. Prepare the verification fee, which is $5 for active members and $20 for inactive members. Ensure to include the payment with your form.
  12. Mail the completed form along with the required fee to the following address: NBRC Executive Office, 18000 W. 105th Street, Olathe, KS 66061-7543.

After submitting the form and payment, the verification process will begin. The NBRC will then verify your professional credentials directly to the Ohio Respiratory Care Board. It is important to allow sufficient time for processing and for any potential follow-up that may be necessary. Keeping a copy of the form and any correspondence for your records is recommended.

What You Should Know About Ohio Rcb 020

What is the Ohio RCb 020 form used for?

The Ohio RCB 020 form is a crucial document for healthcare professionals seeking to have their respiratory care credentials verified by the National Board for Respiratory Care, Inc. (NBRC) for state licensure purposes. This verification is a necessary step for those applying for licensure in the state of Ohio, ensuring the Ohio Respiratory Care Board recognizes their professional qualifications.

Who needs to submit an Ohio RCb 020 form?

Any respiratory care professional applying for state licensure in Ohio and needing to verify their credentials through the NBRC should submit the Ohio RCB 020 form. This includes individuals holding NBRC credentials such as Registered Respiratory Therapist (RRT), Certified Pulmonary Function Technologist (CPFT), Certified Respiratory Therapist–Neonatal/Pediatric Specialist (CRT-NPS), Registered Pulmonary Function Technologist (RPFT), and Registered Respiratory Therapist–Neonatal/Pediatric Specialist (RRT-NPS), among others.

What are the fees associated with the form?

The fee for verifying professional credentials through the NBRC varies depending on the applicant's membership status with the NBRC. Active members are required to pay a $5 fee, while inactive members must pay $20.

Where should the completed form be sent?

After completing Section 1 of the form, applicants must mail it along with the required fee to the NBRC Executive Office, located at 18000 W. 105th Street, Olathe, KS 66061-7543. This ensures that the NBRC can process the verification request.

What information is required on the Ohio RCB 020 form?

To complete the Ohio RCB 020 form, applicants need to provide their personal information, including their name (as credentialed), Social Security Number, address, and phone numbers. Additionally, they must indicate the state in which they are seeking licensure and specify which NBRC credentials they are requesting to be verified.

How do I know if I'm an active or inactive member of the NBRC?

Membership status with the NBRC is determined by your current engagement and compliance with their requirements. Active members are those who have kept up with all necessary renewals and continued education, whereas inactive members may have lapsed in meeting these requirements. To confirm your status, contact the NBRC directly.

Can I submit the Ohio RCB 020 form for licensure in a state other than Ohio?

The Ohio RCB 020 form is specifically designed for individuals applying for respiratory care licensure in the state of Ohio. If you're seeking licensure in another state, you should check with the respective state's respiratory care board or the NBRC for the appropriate form or procedure.

What should I do if I've held credentials under a different name?

If your NBRC credentials were obtained under a different name (e.g., maiden name), it's essential to indicate this on the Ohio RCB 020 form by including your former name in the provided space. This ensures that the NBRC can accurately verify your credentials without delay or confusion.

Common mistakes

Filling out the Ohio RCB 020 form, a critical step for Respiratory Care professionals seeking licensure verification, demands close attention to detail. Common mistakes can lead to delays or the outright rejection of an application. Understanding these errors is paramount to ensuring a smooth verification process with the Ohio Respiratory Care Board and the National Board for Respiratory Care (NBRC).

  1. Not specifying the state licensure: Applicants sometimes overlook the requirement to specify the state for which licensure verification is requested. It is critical to fill in the state name where the license is being applied for to avoid processing delays.
  2. Incorrect fee payment: A frequent error is not paying the correct fee based on the applicant's NBRC membership status. Active members are required to pay a $5 fee, whereas inactive members must pay $20. Submitting the incorrect amount can lead to delays.
  3. Omitting NBRC credentials: Applicants must clearly list all held NBRC credentials (e.g., RRT, CRT, CPFT). Failure to list all relevant credentials may result in incomplete verification.
  4. Failure to print name as credentialed: It’s essential to print your name exactly as it was during the time of credentialing, including any former names. Discrepancies between names can lead to verification issues.
  5. Incorrectly filled Social Security Number: The Social Security Number must be accurately provided, as it is a critical piece of information used for identification purposes. Any mistakes can significantly hinder the verification process.
  6. Incomplete address information: The form requires a complete address, including street, apartment number, city, state, and zip code. Incomplete addresses may not only cause delays but also result in mail delivery failure.
  7. Unsigned form: An unsigned form is considered incomplete and will not be processed. Ensuring that the form is signed is a simple yet frequently overlooked step.

Verifying professional credentials is a step that, while it may seem straightforward, requires keen attention to ensure accuracy. Overlooking details can lead to unnecessary delays in the licensing process, impacting professionals’ ability to practice. By being mindful of these common mistakes, applicants can facilitate a smoother verification process.

Documents used along the form

The Ohio RCB 020 form is a crucial document for respiratory care professionals in Ohio, serving as an official request for credential verification by the National Board for Respiratory Care, Inc. (NBRC). This process is a necessary step for those seeking state licensure, ensuring their credentials are recognized and up-to-date. To complete the licensure process effectively, applicants often need to submit additional documents alongside the Ohio RCB 020. Below is a list of other forms and documents commonly used in conjunction with the Ohio RCB 020 form.

  • Application for State Licensure: This is the primary application form needed to obtain a state license as a respiratory care professional in Ohio. It collects personal information, educational background, and professional experience.
  • Criminal Background Check: Ohio requires a criminal background check for all applicants for licensure in respiratory care. This process helps ensure the safety and well-being of patients.
  • Educational Transcripts: Official transcripts from an accredited respiratory care program must be submitted to verify the applicant’s educational qualifications.
  • Proof of Identity: Applicants must provide a photocopy of a valid government-issued photo ID, such as a driver's license or passport, to verify their identity.
  • Verification of Professional Experience: A document detailing the applicant’s professional experience in respiratory care, including types of procedures performed and duration of employment, may be required.
  • Continuing Education Credits: Evidence of completed continuing education units (CEUs) may be necessary to demonstrate ongoing professional development and adherence to current standards in respiratory care.
  • NBRC Examination Scores: Applicants must submit their scores from the NBRC examinations relevant to their credential, such as the Registered Respiratory Therapist (RRT) or Certified Respiratory Therapist (CRT) exams, to verify their competency.

Each of these documents plays a vital role in the comprehensive evaluation of an applicant’s qualifications for licensure in Ohio. Together, they provide a detailed profile of the applicant’s educational background, professional experience, and commitment to ethical and professional standards. It’s essential for applicants to prepare and submit these documents accurately and completely, to facilitate a smooth and timely licensure process.

Similar forms

The Ohio RCB 020 form, utilized for verifying professional credentials with the National Board for Respiratory Care (NBRC), mirrors the functions of a Nursing Credential Verification Form in its purpose. Much like the RCB 020, this nursing counterpart is designed for those in the nursing field to prove their qualifications and certifications when seeking licensure in various states. Both forms require personal information, details of certification, and a specific fee that varies based on the applicant's current membership status with the relevant professional body. Moreover, they both serve as a bridge between the professional seeking licensure and the state agency responsible for granting that license, ensuring that the credentials are verified directly by the issuing authority.

Similarly, the Medical Doctor (MD) Licensure Verification Form also aligns closely with the Ohio RCB 020 form. This document is essential for physicians looking to obtain state licensure, requiring them to provide evidence of their medical degrees and any specialized certifications. Like the RCB 020, it includes sections for personal information, professional credentials, and the applicant's signature. Both forms are integral in the process of verifying professional qualifications directly with state regulatory bodies, thus facilitating a thorough and efficient licensure process for healthcare practitioners.

The Dental Licensure Verification Form is another document sharing key similarities with the RCB 020 form. Designed for dentists seeking to practice in new jurisdictions, it necessitates the disclosure of dental qualifications and any additional certifications. Both this and the RCB 020 form share the requirement for the applicant to provide comprehensive personal and professional information, alongside a verification fee, to ensure their credentials can be directly verified by the state's dental board or equivalent regulatory agency. The direct verification process underscores the importance of maintaining standards within professional healthcare practices.

The Physical Therapy Licensure Verification Form shares common ground with the Ohio RCB 020 form in purpose and structure. Physical therapists looking to move their practice across state lines or verify their licensure for employers utilize this form to confirm their credentials. The form demands detailed personal information, professional qualifications, and often a fee, paralleling the structure found in the RCB 020 form. Both are vital in streamlining the licensure verification process, making it easier for professionals to transition their practice without undue bureaucracy.

The Pharmacist Licensure Transfer Application, much like the Ohio RCB 020, facilitates the process of verifying pharmacists' credentials across state lines. This form requires detailed information about the pharmacist's education, licensure history, and proof of good standing with their current licensing board. The emphasis on direct verification from the professional body to the state agency is a hallmark shared with the RCB 020 form. Both documents play a crucial role in ensuring that healthcare providers meet the rigorous standards set forth by state regulatory agencies.

The Clinical Laboratory Technician Licensure Verification Form also echoes the elements found in the Ohio RCB 020 form. Professionals in the clinical lab science field use this form to verify their licenses and certifications when applying for new roles or relocating. The form gathers information on the applicant's credentials, work history, and requires a direct verification process similar to that of the RCB 020. This ensures that clinical laboratory technicians meet the stringent requirements necessary for practice in their field, mirroring the credential verification process of respiratory care professionals.

Finally, the Occupational Therapist Licensure Application stands in parallel to the RCB 020 form. This document is designed for occupational therapists who need to verify their credentials to state boards, whether for the purpose of licensure, renewal, or employment verification. It requires detailed professional information and a verification process that is directly communicated between the NBRC and the state agency, much like the RCB 020 form. Both forms ensure that professionals within their respective fields are adequately certified and able to provide the highest level of care to their clients or patients.

Dos and Don'ts

When filling out the Ohio RCB 020 form, understanding and adhering to a clear set of guidelines can streamline the process and ensure the accurate and timely processing of your credential verification by the National Board for Respiratory Care (NBRC) and the Ohio Respiratory Care Board. Below are important do's and don'ts to consider:

Do:
  • Verify your membership status with the NBRC before filling out the form to determine the correct fee you need to submit ($5 for active members, $20 for inactive members).
  • Clearly and accurately complete Section 1, providing all requested information, including the state you are applying for licensure in and the specific NBRC credentials you hold.
  • Print your name exactly as it was when you were credentially recognized by the NBRC, including any former names, to avoid any delays in the verification process.
  • Include your complete and accurate Social Security Number, as it is a critical piece of information for processing your verification.
  • Write down your contact information, including both your business and home phone numbers if applicable, to ensure the NBRC and Ohio Respiratory Care Board can reach you if necessary.
  • Sign and date the form - an unsigned form may be considered invalid and could delay the processing of your request.
  • Keep a copy of the completed form and any correspondence for your records.
Don't:
  • Leave any sections blank. Incomplete forms can lead to processing delays or even the outright rejection of your application.
  • Guess information. If you are unsure about certain details, such as your NBRC membership status, verify them directly with the NBRC before submitting the form.
  • Use nicknames or incomplete names. The name under which you were credentialed and your current name if it has changed, are necessary to match your records accurately.
  • Fail to include the required fee or submit the incorrect fee amount based on your membership status.
  • Overlook minor details like ensuring your social security number, address, and contact information are completely and accurately filled.
  • Use pencil or erasable ink - all entries should be made in permanent black or blue ink to prevent alterations.
  • Send the form without first reviewing it for completeness and accuracy to avoid any unnecessary delays.

Misconceptions

Understanding the Ohio RCB 020 form is crucial for professionals in respiratory care who are seeking licensure or need to verify their credentials in Ohio. However, there are several misunderstandings surrounding this form. Here we will clarify the most common misconceptions.

  • It's free to verify credentials with the NBRC through Ohio's Respiratory Care Board. Actually, there is a fee involved. Active members are charged $5, while inactive members must pay $20.

  • The Ohio RCB 020 form is only for individuals applying for initial licensure. This form is not only for first-time applicants but also for those needing to verify their credentials for various reasons, such as licensure renewal or verification to another state.

  • Any respiratory care professional can use the form, regardless of their certification. The form is specifically designed for individuals holding NBRC credentials, including RRT, CPFT, CRT-NPS, CRT, RP3, and RRT-NPS.

  • Personal information is optional on the RCB 020 form. Providing your name, social security number, and contact information is mandatory for the processing of your form.

  • You can submit the form to any address of the NBRC. The form must be submitted to the specific NBRC Executive Office address provided in the form instructions to ensure proper processing.

  • Electronic signatures are accepted on the Ohio RCB 020 form. As of the latest available information, a handwritten signature is required to authenticate the form and verify the applicant's request.

  • Processing is immediate upon receipt of the form and payment. While the NBRC endeavors to process requests promptly, it may take some time for the verification to be completed and communicated to the Ohio Respiratory Care Board.

  • The RCB 020 form can be used for verification of credentials in any state. Although the form is used to request credential verification from the NBRC, it is specifically for the purpose of verifying credentials to the Ohio Respiratory Care Board or for those applying for state licensure in Ohio.

  • It's acceptable to leave some sections blank if they don't apply. All sections of the form should be completed to ensure there are no delays in processing. Incomplete forms may result in processing delays or even being returned to the sender.

  • You can request verification for multiple states on the same form. The form allows you to request credential verification for Ohio licensure. If you need verification for other states, separate arrangements or forms may be required according to each state's process.

Understanding these key points about the Ohio RCB 020 form ensures that respiratory care professionals can accurately complete and submit their forms for credential verification, avoiding delays or issues in their licensure process in Ohio.

Key takeaways

Understanding and accurately completing the Ohio RCB 020 form is crucial for respiratory care professionals seeking licensure or who need to verify their credentials within the state. Here are key takeaways to ensure the process is handled correctly:

  1. To start, clearly identify whether you are an active or inactive member of the National Board for Respiratory Care, Inc. (NBRC), as this will determine the fee you are required to submit with your form.
  2. Be aware that the fee for active members is $5, while inactive members must pay $20. These fees are necessary for the processing and verification of your professional credentials by the NBRC.
  3. Section 1 of the form should be filled out by the applicant. It is essential to provide accurate information regarding the state licensure you are applying for, including the state's name and the specific state agency.
  4. Specify all NBRC credentials you hold, such as RRT, CPFT, CRT-NPS, CRT, RPFT, and RRT-NPS. This comprehensive listing will ensure that all relevant credentials are verified.
  5. When entering your name under which you were credentialed, include your last name, first name, and middle initial, along with any former names that may have been used professionally. This ensures that your records are accurately matched and verified.
  6. Your Social Security Number must be provided in the designated format for identification purposes and to facilitate the verification process.
  7. Complete all contact information sections, including your street address, city, state, zip code, business phone, and home phone numbers. Accurate contact information is critical for any follow-up communication.
  8. After filling out the form, your signature and the date of completion are required at the bottom. This attests to the accuracy of the information provided and authorizes the NBRC to verify your credentials to the state agency listed.
  9. Submit the completed form, along with the required fee, to the NBRC Executive Office at their provided address. Timely submission is important to avoid delays in the licensure process.
  10. Keep a copy of the completed form and any correspondence for your records. This will be helpful in tracking the progress of your credential verification and addressing any issues that may arise.

By following these guidelines, respiratory care professionals can navigate the credential verification process with the Ohio Respiratory Care Board efficiently. This not only streamlines the application process for state licensure but also ensures compliance with state regulations, ultimately facilitating the continuation of high-quality care to patients.

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