ICATION **Individuals qualifying as ARRT, NMTCB, ISCD, PET, CT or RCIS certified must include a copy of the current ARRT, NMTCB, ISCD or RCIS certification card. This applies to the LEFT column below *Individuals applying for recertification must include a copy of the appropriate number of hours of continuing education documentation. This applies to the Right column below . The CERTIFICATON FEE IS $50.00 for two-year certification cycle (regardless of the number of categories checked). Pleas.
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How to fill out the SCRQSA Application For Recertification online
Filling out the SCRQSA Application For Recertification online can seem daunting, but this guide will provide you with clear and detailed steps to ensure a smooth process. Follow these instructions carefully to complete your application accurately and efficiently.
Follow the steps to successfully complete your application
- Click ‘Get Form’ button to obtain the application form and open it in your preferred editor.
- Begin by filling in your personal details. Provide your last name, first name, and middle initial in the designated fields. Make sure to use clear and legible print or type your information.
- Enter your home mailing address. This includes the street address, city, state, and zip code. Verify that the information is correct, especially if you have a new address or name change, by marking the appropriate box.
- Indicate your home phone number and provide your email address for further communication.
- Include your SCRQSA certificate number, birth date, and the last four digits of your Social Security number for identification purposes.
- Input details about your employment facility. If you work at more than one location, check the corresponding box.
- If you wish to be excluded from the online directory of certificate holders, mark the appropriate checkbox.
- Sign and date the application in the designated fields. Note that your application will not be valid without your signature.
- For credit card payments, fill in your employer’s phone number and select your card type (MasterCard, Visa, or Discover). Then, enter your card number, expiration date, and CVV code.
- Before submitting, review your application thoroughly to ensure all information is complete and accurate. Once verified, save your changes, and you have the option to download, print, or share the form as needed.
Get started today by completing your SCRQSA Application For Recertification online!
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