I understand if any of the above information changes, I must submit a new Application within five business days of any change, addition or deletion. Failure to do so may result in disciplinary action by the Board.
Date Format: MM slash DD slash YYYY
NOTE: To avoid the 3.5% credit card processing fee, payments may be made by mail, with checks made payable to NV State Board of Optometry, noting the purpose of the payment. The Board prefers that all applications, documents or forms be submitted electronically. No submissions will be processed or deemed submitted until payment has been received.
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