Phone Contact Data
This screen is used to review and complete the phone contact data for the provided licensee. Some fields may be pre-populated based on information provided from the relevant states or submitted exams:
This screen is used to provide business, fax, and home phone information for the selected licensee. Phone numbers are stored in "(123)555-456" format.
For each number, an extension number can also be provided, if applicable.
A business and home phone number are required. You can return to this screen later to complete your work, but all required fields must be completed before you will be allowed to submit your license application.
When you have completed this form, click the Main button to return to the Uniform Application main menu, or click the Next button to go to the next screen.