Get Il Iema 254 (3935) 2018

The IL IEMA 254 (3935) is an application for certification in industrial radiography. This guide provides you with clear, detailed instructions to help you successfully complete the form online and submit your application.

Follow the steps to complete your application for certification online.

1. Press the ‘Get Form’ button to obtain the IL IEMA 254 (3935) form and open it in your selected editor.
2. Fill out your personal information in the appropriate fields, including your name, social security number, address, birthdate, and contact information. Ensure that all details are accurate and legible.
3. Indicate your sex by selecting 'F' for female or 'M' for male. If applicable, provide an email address to receive your test results.
4. Select the type of industrial radiography certification you desire, including radioisotope materials, x-ray, or both.
5. Choose the type of certification you are applying for, such as initial certification or certification by reciprocity, and ensure any necessary documents are attached.
6. If you are applying for initial certification, document your minimal work experience as specified and have your Radiation Safety Officer (RSO) attest to its accuracy by signing in the designated area.
7. If currently employed in industrial radiography, complete the employment section with your employer's name and address. If not employed, indicate this in the provided option.
8. Answer the attestation questions truthfully, indicating 'Yes' or 'No' as appropriate, and provide any necessary explanations on a separate sheet if required.
9. Review the agreement section and ensure you understand and agree to the rules and regulations set by the Illinois Emergency Management Agency.
10. Sign and date the application in the certification section, confirming that you are not delinquent on child support orders and all information is accurate.
11. Before submitting, check that all sections are filled out, necessary documents are attached, and the application fee of $125 is enclosed.
12. Finally, save your changes and consider downloading or printing the completed form for your records before sending it to the specified address.

Start completing your IL IEMA 254 (3935) form online today to ensure your application is submitted promptly.