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HEALTH HAZARDS CONTROL UNIT NC DHHS DIVISION OF PUBLIC HEALTH ASBESTOS ACCREDITATION APPLICATION **PLEASE TYPE OR PRINT IN INK** ( Separate Application Required for Each Discipline) APPLICANT 'S NAME:.

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How to fill out the NC Asbestos Accreditation Application - Epi online

Filling out the NC Asbestos Accreditation Application - Epi is a crucial step for individuals seeking accreditation in asbestos management disciplines. This guide provides a clear, step-by-step approach to ensure that you complete the application correctly and efficiently.

Follow the steps to successfully complete your application.

  1. Click ‘Get Form’ button to obtain the application form and access it for completion.
  2. Fill in your full name, social security number, and home address as it should appear on your identification card. Ensure all details are accurate and typed or written in ink.
  3. Complete the contact information section, including your phone number and the date of birth in the mm/dd/yy format. Provide your height and weight as directed.
  4. Select the discipline for which you wish to be accredited. Each discipline requires a separate application, so make sure you are only applying for one at a time on this form.
  5. If you are applying for renewal, enter your accreditation number in the appropriate field.
  6. Indicate the accreditation fee. Select the correct amount based on the discipline you are applying for, ensuring you follow the guidelines provided for initial and additional applications.
  7. Complete the employer's information section, which includes the name and address of your employer as well as their phone and fax numbers.
  8. List the training provider’s name, the dates attended, and the name of the completed course that pertains to your accreditation request.
  9. Read the oath carefully and sign the application with your original signature, ensuring it is dated appropriately.
  10. Gather required supporting documentation, including training certificates, proof of education, and any work history relevant to your application.
  11. Prepare your payment via check or money order, making it payable to NC DHHS - Health Hazards Control Unit, and ensure no cash is sent.
  12. Attach a recent photograph that meets the specifications provided, ensuring your name and social security number are printed on the back.
  13. Mail the completed application form along with all supporting documentation to the appropriate address, depending on your delivery method (US Postal Service or express delivery).

Complete your NC Asbestos Accreditation Application online today to ensure you meet necessary standards in asbestos management.

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