Get Laboratory Certification - Nebraska Department Of Health And Human ...

Filling out the Laboratory Certification application for Nebraska's Department of Health and Human Services can be straightforward when you follow the outlined steps. This guide provides the necessary information to assist you in completing the application accurately and efficiently.

Follow the steps to complete the application successfully.

1. Click ‘Get Form’ button to access the application for certification of drinking water testing laboratories.
2. Fill out the application for certification with accurate details and ensure all necessary sections are completed.
3. Complete and sign the Attestation of Compliance Form, which must be submitted alongside your application.
4. Submit a signed copy of the Instructions and Checklist for Certification, initialing each item that you have included in your application package.
5. Fill out the attached Personnel Form while also providing a photocopy of your diploma to demonstrate certification of academic training.
6. Request the desired sample matrix, test methods, and analytes for certification by completing the Certification Request Form, clearly indicating each matrix-method-analyte combination.
7. If you are requesting reciprocal certification, include the state abbreviation of the corresponding primary Accrediting Authority for each matrix-method-analyte combination, without indicating any secondary Accrediting Authority.
8. Coordinate with your proficiency provider to ensure testing results from the latest PT testing round are sent directly to the department's office. Remember that all results must be current, with specific requirements for new applications.
9. Submit a current signed copy of your Laboratory’s Quality Assurance Plan, though it is not required for reciprocity certification.
10. Complete and submit the Quality Assurance Manual Checklist unless you are requesting reciprocal certification.
11. Provide copies of each matrix-method-analyte combination SOP or any relevant administrative SOPs, also excluding this requirement for reciprocity certification.
12. If applying for reciprocal certification, include a current Certification Certificate along with a list of Fields of Accreditation from the relevant EPA or NELAC Accrediting Authority, ensuring expiration dates are visible.
13. Be prepared for an on-site inspection if requested, and take note that this will apply to Nebraska applicants within three years of certification.
14. Finally, review all sections to ensure accurate completion, and save, download, print, or share the form as required.

Take the next step in your laboratory certification process by completing the application online.