Get Hi Rtb120 2021-2025

The HI RTB120 is an essential form for individuals seeking to renew their radiologic technology licenses in Hawaii. This guide will provide you with comprehensive, step-by-step instructions to successfully fill out the form online.

Follow the steps to complete your renewal application smoothly.

1. Click ‘Get Form’ button to access the HI RTB120 online application and open it in your selected editor.
2. In Part I, Identification, enter your full name, mailing address, city, state, zip code, and last four digits of your Social Security Number (SSN). Check the box if you have a new address. Also fill in your telephone number (home/cell and other) and email address, along with the name of your present employer.
3. In Part II, Certification, select one of the options regarding your continuing education (CE) requirements. If you have met the CE requirements of the ARRT or NMTCB within the previous two years, you must provide verification of your certification. If you are a non-ARRT/NMTCB registrant, ensure to submit verification of at least 24 CE credits.
4. In Part III, Personal Information, answer the questions regarding your employment conduct and any arrests or convictions in the past two years. If applicable, provide explanations on a separate sheet for any 'Yes' answers.
5. Sign and date the form at the designated signature section to confirm the accuracy of the information provided.
6. Submit your payment of the biennial renewal fee by making a check or money order payable to the State Department of Health, ensuring it is submitted with the application.
7. Remit the completed form and payment to the State Department of Health at the specified address. Make sure to double-check for any required documentation and signatures before submission.
8. Once submitted, you can save changes, download, or print a copy of your completed application for your records.

Complete your HI RTB120 renewal application online today!