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.
- Press the ‘Get Form’ button to access the online form and display it in your editor.
- Enter your social security number in the specified format (###-##-###).
- 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.
- Indicate the type of industrial radiography certification you are applying for by selecting from the available options: Radioactive Materials, X-Ray, or Both.
- Choose the type of certification required. For initial certification, complete section V. Select the corresponding options for any additional certification types you may need.
- 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.
- Indicate your current employment status. If employed, provide your employer's name and their address; if unemployed, select that option.
- Respond to the attestation questions. If you answer 'yes' to any, prepare to provide further explanations on a separate sheet.
- Review and agree to the agreement section, acknowledging the rules and regulations of the Illinois Emergency Management Agency.
- Complete the certifications section, ensuring you certify under penalty of perjury regarding child support compliance.
- 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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