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State Education Department Issues Additional Guidance to 2026

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The document is a form (Form 4A) from the New York State Education Department for applicants seeking a restricted license as Clinical Laboratory Technologists in Toxicology. It outlines the steps for applicants to complete and submit the form, including providing personal information and obtaining certification from their training program's Clinical Laboratory Director. The form requires both sections to be filled out and submitted directly to the Office of the Professions.

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Click ‘Get Form’ to open it in the editor.
Begin by completing Section I, which includes your personal information such as Social Security Number, Birth Date, and contact details. Ensure that you sign and date item 8.
Once Section I is filled out, send the entire Form 4A to the Clinical Laboratory Director of your training program. They will need to complete Section II and submit it directly to the Office of the Professions.
In Section II, the Clinical Laboratory Director must attest that you have completed a training program in toxicology. This includes confirming knowledge of laboratory methods and other essential skills outlined in the form.
Finally, ensure that both you and the Clinical Laboratory Director sign and date their respective sections before submission.

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