Form C, Verification Form (rev. 8/2013)
Application to Reactivate an Inactive License for a Polysomnographic Technologist (rev. 10/2018)
License Verification Request (rev. 2/2024)
Va. Admin. Code tit. 18, agency 85, ch. 140, form FORMS (18VAC85-140)
Statutory Authority: §§ 54.1-2400 and 54.1-2957.15 of the Code of Virginia.