Recertification Application 2026

1. Click ‘Get Form’ to open the Recertification Application in our editor.
2. Begin by entering your personal information in the designated fields, including your name, date of birth, and contact details. Ensure accuracy as this information is crucial for processing your application.
3. In section 6, provide the year of your original certification and describe your current position in detail. Highlight your health physics activities and responsibilities.
4. For previous positions (section 8), list them chronologically, emphasizing relevant health physics work. Include dates of employment and descriptions of each role.
5. Complete section 10 by listing any continuing education courses attended during the renewal period. Make sure to include course titles, sponsors, and total credits earned.
6. Finally, review all sections for completeness and accuracy before signing the application in ink. This ensures that you meet all professional responsibilities outlined in section 12.

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