Get R16-b: Radiation Technologist/technician Renewal Application - Dhss Delaware

Filling out the R16-B: Radiation Technologist/Technician RENEWAL Application is an essential step in maintaining your certification in Delaware. This guide provides clear, step-by-step instructions on how to complete the form accurately and efficiently online.

Follow the steps to successfully complete your renewal application.

1. Press the ‘Get Form’ button to access the application and open it in your preferred document editor.
2. Begin filling out your personal information in the designated fields. Include your full name, phone number, and complete address. Ensure your information is current.
3. Enter your social security number and date of birth. Provide these details accurately as they are necessary for identification purposes.
4. If your name has changed, attach proof of the change such as a marriage license or court documents, as this is required for processing.
5. Indicate the type of State Medical Radiation Technician Certificate you are renewing by circling the appropriate option: Bone Densitometry, Dental, or Limited Scope Medical.
6. If you hold a national credential, submit a photocopy of the current credential with your application.
7. Respond to the felony conviction question carefully. If applicable, attach relevant court documents.
8. Review the duty to report obligations and certify your understanding by checking 'Yes' or 'No' in the appropriate sections.
9. Sign and date the application where indicated, confirming that all information is accurate to the best of your knowledge.
10. Once the form is completed, save your changes. You can then print it to mail along with the required application fee to the specified address for processing.

Complete your R16-B renewal application online today to ensure your certification stays current.