What information does the Licensure Verification Request Form require?

The Licensure Verification Request Form specifically requires the license number and license type because this information is essential for accurately identifying the individual's licensure status and ensuring that the verification pertains to the correct person. The license number serves as a unique identifier, while the license type clarifies what specific credentials the individual holds. This precision helps to avoid confusion and confirms exactly what is being requested and verified.

Other information, such as the supervisee's name, date of birth, and social security number, may be useful in broader contexts but are not universally required on the verification request form itself. Furthermore, while all previous licensure applications could provide background information, they are not necessary for the focused intent of verifying current licensure status. Thus, the core requirement hinges on the license number and type to ensure accurate processing of the request.