Nccer form 200: Fill out & sign online

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Click ‘Get Form’ to open form 200 in the editor.
Begin by completing the top portion of the form. Enter the ATS, ATU/TU/ATEF, Instructor Name, and Social Security Number. Also include the Performance Evaluator's name and SSN if different from the Instructor, along with the Type of Training and Completion Date.
For each trainee, clearly print or type their First Name followed by Last Name and Social Security Number. Ensure this information is accurate and legible.
Check off the trainee's name in the Release Form column if they have completed and signed the Registration and Release Form. This confirms that it is on file at your office.
Enter the correct five-digit Module ID# and corresponding two-digit suffix as found in the NCCER Curriculum Instructor's Guide. Indicate Pass (P) or test pass date for each trainee tested.
Ensure all required signatures are obtained at the bottom of Page 2 before submitting to the ANR or Registry Department.

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