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Get IL IEMA 254 (3935) 2018

Ormation. Make funds payable to IEMA. Application fees are not refundable. See web site for exam dates/forms: www.illinois.gov/iema/NRS/RadSafety/Pages/acccert.aspx If you have any questions, please call us at 217-785-9913. Name - - I. Social Security Number Last II. Sex: Address Birthdate Business Telephone # ( MI First F M / Yes No ) Home/Cell Telephone # ( Number & Street / ) Email City Zip State Send test results for exam via email III. Type of Industrial Radiograph.

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