
O. Box 4312 Baton Rouge LA 70821-4312 Phone 225 219-3041 Fax 225 219-3154 Form DRC 20 rev 6/30/06 Application For Office Use Only Date Received Date Scanned User Group Radiation AI Check all boxes that apply 1 New Application for Exam Exam Date 2 Status Exam Type Initial Re-Exam Renewal Exam Category RAM X-Ray Both Minimum Requirements 1 40 Hour Course 2 40 Hours of on-the-job training 7 Request for Change of Information / ie expiration date .
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How to fill out the Louisiana Form Drc 20 online
The Louisiana Form Drc 20 is an essential document for individuals seeking certification in industrial radiography. This guide provides step-by-step instructions to help users fill out the form online efficiently and accurately.
Follow the steps to complete the Louisiana Form Drc 20 online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by checking all applicable boxes under the application type. Specify whether this is a new application for examination or if you are applying for trainee status. Enter the exam date where necessary.
- Indicate the exam type by selecting either 'Initial', 'Re-Exam', or 'Renewal', and specify the exam category such as 'RAM', 'X-Ray', or 'Both'.
- Ensure you meet the minimum requirements for certification, which include completing a 40-hour course and 40 hours of on-the-job training.
- If applicable, fill in your certification details including whether you are a certified radiographer or trainee, providing your certification ID if you responded 'yes'.
- Answer the question regarding any previous revocation or suspension of any certification and provide an explanation on a separate sheet if necessary.
- Complete your personal information including your full name, date of birth, address, and telephone number.
- Fill out your current employer's details and optional information concerning your employment start and end dates.
- Provide your training information, including the firm, school, or consultant details, the dates of instruction, and total hours of on-the-job training for radioactive materials and x-rays.
- Include the name and signature of your instructor, along with the statement of passing a company-specific exam.
- Review the information you have provided for accuracy, and ensure you sign the form both as the applicant and the company representative if applicable.
- Once completed, save your changes, and you may choose to download, print, or share the form as needed.
Take the first step towards your certification by completing the Louisiana Form Drc 20 online.
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