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The Ohio RCB 020 form plays a crucial role in the credential verification process for respiratory care professionals in the state of Ohio. This form, issued by the Ohio Respiratory Care Board, is designed to facilitate the verification of credentials by the National Board for Respiratory Care, Inc. (NBRC). Applicants must fill out Section 1 of the form to initiate verification, indicating the specific Ohio state agency to which the NBRC should send the verification. Notably, the form requires the applicant to disclose essential personal information, including their name, social security number, and contact details. Additionally, it outlines the associated fees for credential verification, which vary based on the applicant's NBRC membership status. Active members benefit from a reduced fee of $5, while inactive members are subject to a fee of $20. The form also lists various NBRC credentials, such as RRT and CRT, which applicants may hold. By completing the RCB 020 form accurately and submitting it alongside the required fee, applicants take a significant step toward obtaining licensure to practice respiratory care in Ohio.

Ohio Rcb 020 Example

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

 

Form Characteristics

Fact Name Description
Form Title The official title is the NBRC Credential Verification Form.
Governing Body This form is overseen by the Ohio Respiratory Care Board.
Contact Information The board is located at 77 S. High Street, 16th Floor, Columbus, Ohio 43215-6108.
Verification Requirement Applicants must provide a fee to verify their professional credentials.
Fee Structure A $5 fee applies for active members, while a $20 fee is charged for inactive members.
Submission Address The form must be submitted to the NBRC Executive Office in Olathe, Kansas.
Section Requirements Section 1 must be completed to apply for state licensure.
Credential Options Different NBRC credentials can be requested for verification, such as RRT, CRT, and others.
Personal Information Applicants must provide their Social Security Number and contact details.
Form Edition This form version is dated 4/07 and supersedes all previous editions.

Guidelines on Utilizing Ohio Rcb 020

After gathering the necessary information, you are ready to fill out the Ohio RCB 020 form. Be sure to double-check your entries to ensure accuracy. This form is crucial for processing your credential verification with the National Board for Respiratory Care. Follow these steps to complete the form effectively.

  1. Begin by indicating the state for which you are applying for licensure. Write the state name in the designated space.
  2. Select the NBRC credentials you hold by marking the appropriate boxes next to: RRT, CPFT, CRT-NPS, CRT, RPFT, and RRT-NPS.
  3. Provide your name as it appears on your credentials in the section labeled 'PRINT NAME UNDER WHICH YOU WERE CREDENTIALED.'
  4. Enter your Social Security Number accurately in the format: XXX-XX-XXXX.
  5. Fill in your complete address, including your street address, apartment number (if applicable), city, state, and zip code.
  6. Include both your business and home phone numbers. Make sure these numbers are current and accurate.
  7. Sign the form to authenticate it, followed by the date of signing.
  8. Add the appropriate fee depending on your NBRC membership status: $5 for active members or $20 for inactive members. Prepare this payment to be sent along with the completed form.
  9. Review the completed form for errors or omissions before submitting.

Once completed, mail the form and the payment to the NBRC Executive Office at the address provided on the form. Keep a copy of the submitted form for your records.

What You Should Know About This Form

What is the Ohio RCB 020 form?

The Ohio RCB 020 form, also known as the NBRC Credential Verification Form, is used by applicants who wish to verify their professional credentials with the National Board for Respiratory Care (NBRC). This verification is a necessary part of the state licensure application process for respiratory care professionals in Ohio.

Who needs to fill out the Ohio RCB 020 form?

Any individual applying for state licensure in Ohio as a respiratory care professional must complete the RCB 020 form. It is specifically for those seeking to verify their credentials issued by the NBRC. Applicants must hold some form of NBRC credentials, such as RRT or CRT.

What are the fees associated with the Ohio RCB 020 form?

Applicants must pay a fee to the NBRC for the verification of their credentials. The fee varies based on whether the NBRC membership is active or inactive. Active members pay $5, while inactive members are required to pay $20. Payment must be submitted along with the completed form.

Where should I send the completed Ohio RCB 020 form?

The completed Ohio RCB 020 form should be sent to the NBRC Executive Office at 18000 W. 105th Street, Olathe, KS 66061-7543. Ensure that you include the required fee and any additional documentation as needed.

What information do I need to provide on the Ohio RCB 020 form?

Applicants need to provide personal information, including their name, contact details, and Social Security Number. There are also sections where applicants must indicate their NBRC credentials, the state in which they are applying for licensure, and the state agency that will receive the verification.

What should I do if I have questions about completing the Ohio RCB 020 form?

If you have questions or need assistance while completing the form, it is recommended to contact the Ohio Respiratory Care Board directly at 614.752.9218. They can provide guidance and clarify any uncertainties you may have about the form or the application process.

Common mistakes

Filling out the Ohio RCB 020 form can seem straightforward, yet many applicants encounter common pitfalls that may delay their credential verification process. One frequent mistake is failing to provide all required information in Section 1. When applicants neglect to specify the state for licensure or fail to indicate the state agency receiving the verification, it causes confusion and may lead to unnecessary delays.

Another mistake involves the selection of NBRC credentials. Many applicants either overlook checking their credentials altogether or incorrectly check boxes for credentials they do not hold. It is paramount for applicants to accurately represent their qualifications to ensure the verification process runs smoothly.

In the personal identification section, writing errors in names can lead to complications. Applicants should ensure they print their name clearly in the designated area and also verify the spelling matches the credentials on file. This detail is crucial as discrepancies can hinder the processing of their application.

The inclusion of the Social Security Number is another sensitive yet essential component of the form. Some applicants might skip this step or inaccurately input their numbers. Any errors in this section can lead to significant delays in verification, as the state may require further clarification or documentation before proceeding.

Contact information, including addresses and phone numbers, must be complete and accurate. Incomplete address entries or incorrect phone numbers can prevent notifications regarding application status, leading to frustration for the applicant. Every detail counts in ensuring that they can be reached promptly.

The signature and date at the end of the form present yet another layer of importance. Failing to provide a signature or an appropriate date can render the entire application invalid. Applicants must remember to review this section carefully, as submitting an unsigned form could lead to setbacks in the application process.

Finally, overlooking the fee structure can also result in complications. Some candidates might submit their forms without the required fee or send the wrong amount. Familiarizing oneself with whether they qualify as an active or inactive member is vital to prevent rejection of the application due to insufficient payment.

By avoiding these common mistakes, applicants can facilitate a smoother application process, ensuring their credential verification proceeds without unnecessary obstacles.

Documents used along the form

The Ohio RCB 020 form is a crucial document used for credential verification by the National Board for Respiratory Care. When applying for state licensure, several other forms and documents may accompany it to ensure a well-rounded application. Below is a list of common forms that applicants often need to submit along with the Ohio RCB 020 form.

  • NBRC Application Form: This form is required to apply for certification from the National Board for Respiratory Care. It outlines the applicant's qualifications and background.
  • Proof of Education: Applicants must provide a copy of their transcripts or diploma proving that they have completed the necessary educational programs for their respiratory care qualifications.
  • State Licensure Application: This document is submitted to the respective state board and is essential for obtaining a state license to practice as a respiratory therapist.
  • Background Check Authorization: Many state boards require a background check. This form authorizes the board to conduct a criminal background investigation on the applicant.
  • Verification of Employment Form: Documentation that verifies prior work experience in the respiratory care field may be needed to demonstrate qualifications and skills.
  • CPR Certification Card: A copy of the current CPR certification is often necessary as it shows an applicant's readiness to provide life-saving techniques.
  • NBRC Fees Payment Receipt: Proof of payment for NBRC credential verification shows that the application process has been started and fees are current.
  • Continuing Education Documentation: Evidence of continuing education credits can be required to show the applicant remains informed about updates in the respiratory care field.
  • Personal Statement or Cover Letter: While not always required, a personal statement describing the applicant’s interests and motivations can strengthen the application.

When preparing your application, ensure all required documents accompany the Ohio RCB 020 form for a smooth review process. Each document plays an essential role in assessing your qualifications for licensure.

Similar forms

  • NBC Credential Verification Form: Similar to the Ohio Rcb 020 form, the NBC Credential Verification Form is used to verify professional qualifications. Both forms require applicants to submit personal information and payment for credential verification.

  • State Licensure Application: This document serves as an official request for professional licensure. Like the Ohio Rcb 020, it asks for details about the applicant's credentials and often includes a verification component from a national board.

  • Credentialing Application for Health Professionals: This application is needed for healthcare professionals seeking to confirm their qualifications. Both documents require an applicant's personal details and a fee for processing their credentials.

  • Continuing Education Verification Form: This form is used to confirm an individual's completion of continuing education requirements. Similar to the Ohio Rcb 020, it often needs applicants to list their educational credentials and submit evidence alongside a fee.

  • National Provider Identifier (NPI) Application: The NPI application is essential for healthcare providers. Just like the Ohio Rcb 020, it gathers personal information about the applicant and connects their credentials to their provider identity.

  • Job Application for Healthcare Professionals: This document is requested by employers to gather candidate qualifications. Much like the Ohio Rcb 020, it features sections for credential listing and often requires verification of professional status.

  • Recertification Application: Required for professionals to maintain their credentials, this application resembles the Ohio Rcb 020 in that both require proof of qualifications and a payment fee to confirm ongoing professional status.

Dos and Don'ts

When filling out the Ohio RCB 020 form, it's essential to follow guidelines to ensure accuracy and compliance. Here is a list of things you should and shouldn’t do during the process:

  • Do ensure that you have the correct version of the form to avoid using outdated information.
  • Do complete Section 1 clearly, specifying the state where you are applying for licensure.
  • Do include all required personal information accurately, such as your name and social security number.
  • Do indicate your NBRC credentials precisely; double-check your selections.
  • Do sign and date the form before submission to validate your application.
  • Don't leave any sections blank; every part of the form must be filled out completely.
  • Don't provide incorrect or misleading information; honesty is crucial in this process.
  • Don't forget to include the required fee; checks should be made out to the proper entity.
  • Don't submit the form without reviewing it for errors; a second look can prevent mistakes.
  • Don't miss the submission deadline; check with the Ohio Respiratory Care Board for any specific timelines.

Misconceptions

Understanding the Ohio RCB 020 form is crucial for applicants seeking licensure in respiratory care. However, misconceptions often lead to confusion. Here are six common misunderstandings about this form.

  • Only Ohio Residents Need This Form: Many believe that only residents of Ohio need to fill out the RCB 020 form. In reality, applicants from any state who are applying for licensure in Ohio must complete this form.
  • The Form is Only for Active NBRC Members: Some people think that only active members of the National Board for Respiratory Care (NBRC) are eligible to use this form. However, even inactive members can submit the RCB 020 form, though they will incur a higher fee.
  • The Fees are the Same Regardless of Membership Status: There is a misconception that the verification fees are uniform for all applicants. This is not the case; the fee structure differentiates between active and inactive members, making awareness of these fees essential.
  • Submission of the Form is All That is Required: Another common belief is that submitting the Ohio RCB 020 form alone suffices. In fact, applicants must also include payment for the fee and ensure that the NBRC sends verification directly to the appropriate Ohio state agency.
  • The Form Must be Mailed to Ohio: Some individuals think they need to send the completed form to an Ohio address. The form actually must be submitted to the NBRC Executive Office in Kansas, along with the corresponding fee.
  • There are No Consequences for Errors on the Form: Many assume that inaccuracies on the form can be easily corrected later. However, errors can lead to delays in licensure. Therefore, it's important to double-check all information before submission.

Being informed about these misconceptions can help streamline the application process and increase the chances of successful licensure. Understanding the requirements and structure of the RCB 020 form is vital for anyone navigating this procedure.

Key takeaways

When it comes to the Ohio RCB 020 form, clarity and accuracy are essential. Here are some key takeaways to ensure you navigate the process effectively:

  • Understand the Purpose: This form is primarily for verifying your professional credentials through the National Board for Respiratory Care (NBRC) when applying for state licensure.
  • Verify Fee Structure: The form requires a fee that varies depending on your NBRC membership status. Active members pay $5, while inactive members are charged $20.
  • Complete Section 1: This section is important as it explicitly states your request for the NBRC to verify your credentials. Ensure all information is accurate and complete.
  • Provide Accurate Personal Information: Carefully fill in your personal details, including your Social Security number, name, and contact information. This will help prevent any processing delays.
  • Signature and Date: Don’t forget to sign and date the form. This step confirms your request and is legally required for processing.
  • Submit to the Correct Address: Ensure that you send the completed form and any applicable fees to the NBRC Executive Office in Olathe, Kansas, to ensure proper handling of your request.

Following these guidelines will help streamline your credential verification process and increase the chances of a smoother experience as you pursue your licensing in Ohio.