NV.gov
Infection Control Inspection Applications | Forms
|
Application | Form |
For | Paper Format | Online Format |
| Infection Control Inspection Audit Compliance Form | Dentists, Special Endorsed Public Health Endorsed Hygienists | Not Available Yet | |
| Mobile Unit and Portable Dental Equipment - Infection Control Inspection Audit Compliance Form | Dentists, Special Endorsed Public Health Endorsed Hygienists | Not Available Yet | |
| Off-Site Sterilization Inspection Attachment Form | Dentists, Special Endorsed Public Health Endorsed Hygienists | Not Available Yet |
Program Applications | Forms
|
Application | Form |
For | Paper Format | Online Format |
| Public Health Program Application | Public Health Programs | NA | Online |
| Public Health Program Location Notification Report Form | Public Health Programs | NA | Online |
| Public Health Special Endorsed Individual Application | Dental Hygienists | Online | |
| CE Provider Application | CE Course Providers | Not Available Yet | |
| Continuing Education Guide | CE Course Providers | Not Available Yet | |
| Limited License CE Supervisor Form | Dentists | Not Available Yet | |
| License Certification Request Application | All License Types | Not Available Yet | |
| Advanced Education Provider Application | Advanced Education Providers | Not Available Yet | Not Available Yet |
| Permanent Facility Registration Form | CE Course Providers | Not Available Yet |
Additional Applications | Forms
|
Application | Form |
For | Paper Format | Online Format |
| Complaint Form - English | General Public and Licensees | Online | |
| Complaint Form - Spanish | General Public and Licensees | Online | |
| Board Petition Request Form | General Public and Licensees | NA | Online |
| Public Meeting Notification Request Form | General Public and Licensees | NA | Online |
| Public Information Request Form | General Public and Licensees | NA | Online |
| Public Comment Submission Form | General Public and Licensees | NA | Online |
| Fraud | Scam Call Report Form | All License Types | NA | Online |
| Notice of Address Change Form | All License Types | Online | |
| Notifice of Name Change Form | All License Types | NA | |
| Wall Certificate Order Form | All License Types | NA | |
| Credit Card Authorization Form | All License Types | NA | |
| IT Support Request Form | All License Types | NA | Online |