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  • Il Iema 7002 (formerly 254 (3935)) 2019

Get Il Iema 7002 (formerly 254 (3935)) 2019-2026

Itiate the on-line payment option, the completed application must be faxed or emailed. (See Page 2) The following link provides further information on the certification process: http://radtech.iema.illinois.gov If you have any questions, please call 217-785-9913. II. Sex: I. Social Security Number: M F Birthdate: (mm/dd/yyyy) (###-##-###) Name: Business Telephone: Last First MI Address: Home/Cell Telephone: Email (Required): City State Zip Code Communication will be via email III.

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How to use or fill out the IL IEMA 7002 (Formerly 254 (3935)) online

Filling out the IL IEMA 7002 form is a critical step for those seeking certification in industrial radiography. This guide provides a straightforward walkthrough of the online form, ensuring you complete each section accurately and efficiently.

Follow the steps to effectively complete the IL IEMA 7002 online.

  1. Press the ‘Get Form’ button to access the online form and display it in your editor.
  2. Enter your social security number in the specified format (###-##-###).
  3. Fill in your personal details, including your name (last, first, and middle initial), birthdate (mm/dd/yyyy), and contact information (home/cell and business telephone, and email address). Ensure all fields are complete and legible.
  4. Indicate the type of industrial radiography certification you are applying for by selecting from the available options: Radioactive Materials, X-Ray, or Both.
  5. Choose the type of certification required. For initial certification, complete section V. Select the corresponding options for any additional certification types you may need.
  6. If applicable, provide documentation of minimal work experience by your Radiation Safety Officer (RSO) for initial certification. Ensure they sign and print their name, along with the date.
  7. Indicate your current employment status. If employed, provide your employer's name and their address; if unemployed, select that option.
  8. Respond to the attestation questions. If you answer 'yes' to any, prepare to provide further explanations on a separate sheet.
  9. Review and agree to the agreement section, acknowledging the rules and regulations of the Illinois Emergency Management Agency.
  10. Complete the certifications section, ensuring you certify under penalty of perjury regarding child support compliance.
  11. Once all sections are completed, save your changes, download a copy for your records, and prepare to submit your application via email or fax.

Start filling out your IL IEMA 7002 form online today to ensure a smooth certification process.

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