Get Ca Cdph 8232 Sra Iii 2024-2026

The CA CDPH 8232 SRA III form is essential for renewing your X-ray Technician Limited Permit in California. Completing this form accurately is crucial to ensure your renewal is processed without delays. This guide will provide you with comprehensive steps to fill out the form online.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the CA CDPH 8232 SRA III form and open it in the online editor.
2. Fill in your permit number and expiration date in the designated fields at the top of the form.
3. Provide your contact information, including your phone number and email address.
4. Enter your personal details: last name, suffix, first name, middle name, social security number or ITIN, and date of birth in the appropriate fields.
5. Complete your mailing address or P.O. Box number, and check the box if you are changing your address.
6. If applicable, include documentation for any name changes, such as a certified court order and a government-issued photo ID.
7. List the required 24 continuing education credits you have completed in the provided space, including course titles, providers, dates, and the certifying organization.
8. If you wish to cancel any part of your permit, fill out the cancellation request section. Remember that cancelling your permit will require you to reapply for a new one.
9. Review the certification statement regarding the accuracy of the information you provided and sign the form. Ensure your original signature is included.
10. Once completed, you can save your changes, download a copy, print it out, or share it as needed.

Complete your CA CDPH 8232 SRA III form online today to ensure timely processing of your renewal.