Get Info Needed For Cdph 8200 Sra Iii

Filling out the Info Needed For Cdph 8200 Sra Iii is an essential process for renewing your California Radiologic Technology Certificate. This guide will provide you with clear and concise instructions to help navigate the online form effectively.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your certificate number at the top of the form. Make sure it is correctly listed, as this is vital for the renewal process.
3. Provide your last name, first name, and middle name. Ensure that the full true name is used to match official records.
4. Input your mailing address. If this is a change of address since your last certificate was issued, check the designated box.
5. Fill in your city, state, and ZIP code. Double-check these details to ensure accuracy.
6. Enter your phone number for contact purposes.
7. Check all applicable categories listed on your certificate, which include Diagnostic, Fluoroscopic, Mammographic, and Therapeutic.
8. Include your Social Security number as required by law for identification purposes.
9. Decide if you wish to cancel any certificate or permit and indicate it in the designated section if necessary.
10. List any earned continuing education credits on the next pages of the form. You will need to maintain documentation for these credits for five years.
11. Review all provided information to ensure it is accurate and complete.
12. Sign and date the application at the bottom of the form.
13. Once completed, save your changes, download a copy, and consider printing it for your records. Make sure to send the form along with your nonrefundable renewal fee to the specified address.

Complete your renewal application online for a smooth and efficient process.