Follow the steps to successfully complete your certification application.

1. Click ‘Get Form’ button to access the Radon Tester/Mitigator Certification Form SF 45703 and open it in your browser.
2. Carefully read the instructions at the top of the form, ensuring you understand the certification requirements outlined under 410 IAC 5.1-1-22.
3. Select the type of certification you are applying for by checking all applicable boxes: Radon Laboratory Tester, Secondary Radon Tester, Primary Radon Tester, or Radon Mitigator. Note the fee of $100.00 for each certification.
4. Provide your personal information clearly by filling out your last name, first name, middle initial, and your complete address including city, state, and 9-digit zip code.
5. Enter your home phone number to ensure communication regarding your application.
6. Fill in the business information section with your business name, address, city, state, and business phone and fax numbers. Provide the last name, first name, and middle initial of the President or Chief Executive Officer.
7. Complete the Radon Proficiency Program (RPP) Information by entering the appropriate RPP I.D. numbers for residential measurement, analytical measurement, and residential mitigator.
8. Attach copies of your RPP Photo I.D. card and, if applying for Primary Radon Tester or Radon Laboratory Tester, include your Device Performance Test Report Listing Letter.
9. Review all information for accuracy and completeness, then submit the completed form along with the appropriate fees to the specified Indiana State Department of Health address.
10. Allow 3 to 6 weeks for processing. You will receive a notification letter regarding the acceptance or rejection of your application.

Complete your Radon Tester/Mitigator Certification Form online today to ensure compliance and certification.