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Content Overview

The Ohio RCB 020 form is a crucial document for individuals seeking state licensure in respiratory care. It serves as a credential verification form required by the National Board for Respiratory Care (NBRC). Applicants must complete the form to facilitate the verification of their professional credentials directly to the relevant state agency. The form includes essential sections where applicants provide their personal information, including their name, Social Security number, and contact details. Additionally, it specifies the required fees for processing the verification, which vary based on the applicant's NBRC membership status. Active members pay a fee of $5, while inactive members are required to pay $20. This form not only streamlines the licensure process but also ensures that the credentials of respiratory care professionals are accurately verified, thereby maintaining the standards of the profession in Ohio.

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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. 105
th
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
_______________________________________________________________
Last First Middle Initial Former Name
_______________________________________________________________
Street /Apt. #
_______________________________________________________________
City State Zip Code
_______________________________________________________________
Business Phone Home Phone
_______________________________________________________________
Signature Date
RCB 020 (4/07) This form supersedes all previous editions

Form Specifications

Fact Name Fact Description
Form Purpose The Ohio RCB 020 form is used for credential verification by the National Board for Respiratory Care (NBRC) for individuals applying for state licensure in Ohio.
Governing Body The form is governed by the Ohio Respiratory Care Board.
Fee Structure Active NBRC members pay a fee of $5, while inactive members pay $20 for credential verification.
Submission Address Completed forms must be sent to the NBRC Executive Office in Olathe, Kansas.
Contact Information The Ohio Respiratory Care Board can be contacted at 614.752.9218 for inquiries related to the form.
Applicant Information Applicants must provide their name, social security number, and contact information on the form.
Credential Types Applicants can hold various NBRC credentials, including RRT, CPFT, CRT-NPS, CRT, RPFT, and RRT-NPS.
Signature Requirement A signature and date are required from the applicant to validate the form.
Edition Date The current edition of the RCB 020 form was last updated in April 2007 and supersedes all previous editions.

Ohio Rcb 020: Usage Guidelines

Completing the Ohio RCB 020 form is a straightforward process. This form is essential for verifying your professional credentials with the National Board for Respiratory Care (NBRC). Once you fill it out, you will need to submit it along with the required fee to the designated address.

  1. Begin by entering the state name where you are applying for licensure in the designated space.
  2. Indicate the state agency that will receive your credential verification.
  3. Select the NBRC credentials you hold by checking the appropriate boxes: RRT, CPFT, CRT-NPS, CRT, RPFT, or RRT-NPS.
  4. Print your name as it appears on your credentials in the provided space, including your last name, first name, and middle initial. If applicable, include your former name.
  5. Complete the section for your Social Security Number, ensuring accuracy.
  6. Fill in your current street address, including apartment number if necessary.
  7. Provide your city, state, and zip code in the specified fields.
  8. Enter your business phone number and home phone number as requested.
  9. Sign and date the form at the bottom to validate your application.
  10. Determine your fee based on your NBRC membership status: $5 for active members or $20 for inactive members.
  11. Prepare your payment and ensure it is included with your completed form when you send it to the NBRC Executive Office.

Your Questions, Answered

What is the Ohio RCB 020 form?

The Ohio RCB 020 form is a credential verification form required by the National Board for Respiratory Care (NBRC) for individuals applying for state licensure in Ohio. It facilitates the verification of professional credentials directly to the appropriate state agency.

Who needs to fill out the Ohio RCB 020 form?

Any applicant seeking licensure as a respiratory care professional in Ohio must complete this form. This includes individuals holding various NBRC credentials such as RRT, CRT, CPFT, and others.

What fees are associated with the Ohio RCB 020 form?

There are fees based on your NBRC membership status. Active members pay a fee of $5, while inactive members are required to pay $20. This fee is necessary for the NBRC to process the credential verification.

Where should I send the completed Ohio RCB 020 form?

Once you have completed the form and included the required fee, send it to the NBRC Executive Office at 18000 W. 105th Street, Olathe, KS 66061-7543. Ensure all sections are filled out accurately to avoid delays.

What information do I need to provide on the form?

You will need to provide your personal information, including your full name (and any former names), Social Security number, contact details, and the specific NBRC credentials you hold. Make sure to double-check all entries for accuracy.

Is there a deadline for submitting the Ohio RCB 020 form?

While there is no specific deadline mentioned for the form submission, it is advisable to submit it as soon as possible to ensure that your credential verification is completed in a timely manner. Check with the Ohio Respiratory Care Board for any specific timelines related to your licensure application.

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

If you have questions or need assistance while filling out the Ohio RCB 020 form, you can contact the Ohio Respiratory Care Board at 614.752.9218. They can provide guidance and help clarify any uncertainties you may have.

Common mistakes

  1. Incomplete Personal Information: Many applicants forget to fill in all required personal details, such as their full name, social security number, and contact information. This can lead to delays in processing.

  2. Incorrect Fee Submission: Submitting the wrong fee based on membership status is a common mistake. Active members should pay $5, while inactive members need to submit $20. Double-check your membership status before sending the payment.

  3. Omitting the State Name: Failing to specify the state for licensure can halt the application process. Ensure you clearly indicate the state in the designated area of the form.

  4. Neglecting to Sign and Date: Some applicants forget to sign and date the form. Without a signature, the application may be considered incomplete.

  5. Incorrectly Listing Credentials: Applicants often misidentify their NBRC credentials. It’s crucial to accurately check the boxes for the credentials you hold to avoid confusion.

  6. Failure to Review Before Submission: Rushing through the form can lead to overlooked errors. Taking a moment to review the entire form before sending it can save time and prevent issues.

Documents used along the form

The Ohio RCB 020 form is essential for individuals seeking licensure in respiratory care within Ohio. However, several other forms and documents are often used in conjunction with it to ensure a smooth application process. Below is a list of these documents, each playing a vital role in the licensure journey.

  • Application for Licensure: This is the primary form that applicants fill out to formally request a license to practice respiratory care in Ohio. It collects personal information, educational background, and professional experience.
  • Background Check Authorization Form: This document allows the state to conduct a criminal background check on the applicant. It is a necessary step to ensure the safety and integrity of the profession.
  • Verification of Education Form: Applicants must provide proof of their educational qualifications. This form is sent to the educational institution to confirm that the applicant has completed the required coursework and training.
  • National Board for Respiratory Care (NBRC) Credential Verification: This form is used to verify that the applicant holds valid credentials from the NBRC. It ensures that the applicant meets the national standards for practice.
  • Proof of Continuing Education: Some applicants may need to submit documentation showing they have completed required continuing education courses. This helps maintain competency in the field.
  • Employment Verification Form: If the applicant has previous work experience in respiratory care, this form verifies their employment history and the nature of their roles.
  • Affidavit of Applicant: This is a sworn statement where the applicant attests to the truthfulness of the information provided in their application and other submitted documents.

Each of these documents serves a specific purpose in the licensure process, contributing to a comprehensive evaluation of the applicant's qualifications and readiness to practice respiratory care in Ohio. Properly completing and submitting these forms can facilitate a more efficient review by the Ohio Respiratory Care Board.

Similar forms

The Ohio RCB 020 form, utilized for credential verification by the National Board for Respiratory Care (NBRC), shares similarities with several other important documents in the healthcare and licensing fields. Understanding these documents can provide clarity and streamline the application process for professionals seeking licensure or credential verification. Here are nine documents that are similar to the Ohio RCB 020 form:

  • NBRC Credential Verification Request Form: This form is specifically designed for applicants to request the verification of their NBRC credentials, similar to the Ohio RCB 020 form, which also serves this purpose for Ohio state licensure.
  • State Licensure Application: Just like the Ohio RCB 020, a state licensure application requires personal information and verification of professional credentials, ensuring that applicants meet state-specific requirements.
  • Continuing Education Verification Form: This document, like the Ohio RCB 020, is used to verify that professionals have completed necessary continuing education, which is often a requirement for maintaining licensure.
  • Professional Credentialing Application: Similar to the Ohio RCB 020 form, this application is used by healthcare professionals to apply for credentialing with specific organizations or institutions, verifying their qualifications.
  • Employment Verification Form: This form verifies an individual’s employment history and qualifications, much like the Ohio RCB 020, which verifies professional credentials for licensure.
  • National Practitioner Data Bank (NPDB) Self-Query: This document allows healthcare professionals to check their own credentials and any malpractice history, similar to how the Ohio RCB 020 verifies credentials for state licensure.
  • Credentialing Verification Organization (CVO) Form: This form is used by CVOs to verify the credentials of healthcare professionals, paralleling the Ohio RCB 020's purpose of credential verification for state licensure.
  • Application for Certification: This document is used to apply for certification from various professional boards, much like the Ohio RCB 020 form is used to apply for state licensure verification.
  • Reciprocity Application: Similar to the Ohio RCB 020, a reciprocity application allows professionals licensed in one state to obtain licensure in another state by verifying their credentials.

Understanding these forms can aid applicants in navigating the complex landscape of professional licensure and credential verification. Each document plays a crucial role in ensuring that healthcare professionals meet the necessary standards for practice.

Dos and Don'ts

When filling out the Ohio RCB 020 form, attention to detail is crucial. Below is a list of important dos and don'ts to guide you through the process.

  • Do ensure all sections of the form are completed accurately.
  • Do double-check your social security number for accuracy.
  • Do use your legal name as it appears on your credentials.
  • Do verify the correct fee amount based on your NBRC membership status.
  • Do sign and date the form before submission.
  • Don't leave any required fields blank.
  • Don't use nicknames or variations of your name.
  • Don't forget to include your contact information.
  • Don't submit the form without the required fee.

By following these guidelines, you can help ensure that your application process goes smoothly and that your credentials are verified without unnecessary delays.

Misconceptions

Understanding the Ohio RCB 020 form is essential for applicants seeking licensure. However, several misconceptions can lead to confusion. Here are eight common misunderstandings:

  • It is free to verify credentials. Many believe that the verification process incurs no cost. In reality, there is a fee associated with the verification, which varies depending on NBRC membership status.
  • Only active members need to pay the fee. Inactive members also need to pay a fee, albeit a higher amount. This is often overlooked by those who have let their membership lapse.
  • The form can be submitted online. Some applicants assume that they can submit the RCB 020 form electronically. However, it must be mailed to the NBRC Executive Office.
  • All sections of the form are optional. Each section must be completed accurately. Missing information can delay the verification process.
  • Only one credential can be verified. Applicants can request verification for multiple NBRC credentials on the same form, which is not commonly known.
  • The form is only for new applicants. Existing license holders who need to verify their credentials for renewal may also need to complete this form.
  • Submitting the form guarantees licensure. While the form is a crucial step, it does not guarantee that the applicant will receive licensure. Other requirements must also be met.
  • The form does not require a signature. A signature is mandatory on the form. Without it, the submission will not be processed.

By clarifying these misconceptions, applicants can navigate the licensure process more effectively and avoid unnecessary delays.

Key takeaways

Filling out the Ohio RCB 020 form is a crucial step for applicants seeking licensure in respiratory care. Here are some key takeaways to ensure you navigate the process smoothly:

  • Understand the Fees: The National Board for Respiratory Care (NBRC) charges a fee for credential verification. Active members pay $5, while inactive members owe $20. Be sure to include the correct fee with your application.
  • Complete Section 1 Accurately: This section requires you to specify the state for licensure and the agency to which the NBRC will send your verification. Double-check the names to avoid any delays.
  • Provide Personal Information: Fill in your full name, social security number, and contact details accurately. This information is vital for processing your application and verifying your credentials.
  • Signature and Date: Don’t forget to sign and date the form. An unsigned form will not be processed, causing unnecessary delays in your application.
  • Submit Promptly: After completing the form, send it along with the fee to the NBRC Executive Office in Kansas. Timely submission is essential to keep your application on track.

By paying attention to these details, you can help ensure a smoother application process and avoid potential setbacks. Take action now to secure your future in respiratory care.