Get Application For Reciprocal Certification - Rhode Island Department Of ... - Health Ri

This guide will provide you with clear instructions on how to effectively complete the Application For Reciprocal Certification for the Rhode Island Department of Health. Follow these steps to ensure your application is filled out accurately and submitted correctly.

Follow the steps to complete your application online.

1. Press the ‘Get Form’ button to access the application and open it in your document management tool.
2. Begin by reading all instructions provided on the form to ensure you understand what is required. Type or print your answers clearly. All fields must be answered; if any question does not apply to you, indicate 'NA'.
3. Fill in your personal information, including your name, social security number, date of birth, and place of birth. Ensure that your name is exactly as you want it to appear on your license.
4. Provide your residence information. Include your complete address and contact information. Remember to keep the department updated on any changes to your address or phone number.
5. Complete the business/employment information section by providing details about your current employer and your primary employment. Include contact details for your employer.
6. Indicate your preferred mailing address. You can choose either your residence or business address for public mailings.
7. Fill out the education section by checking the highest grade completed and providing information about your high school diploma or equivalent. If applicable, include your college degree information and ensure to attach the required transcripts.
8. In the operator grade information section, specify the state of your current certification, the type and grade of your certification, your exam score, and the dates related to your certification.
9. Detail your experience related to drinking water treatment or distribution. List your current and previous positions chronologically, starting with your current position. Provide the details requested for each, including duties and responsibilities.
10. Complete the affidavit section by reading the statement, printing your name, signing, and dating the document. Ensure that you understand the implications of providing false information.
11. Once all sections are filled out, review your application for accuracy. Save any changes made, and prepare to download, print, or share your completed form as needed.

Complete your application online today to ensure your certification is processed efficiently.