R-90 Application for Registration Limited Scope Operator Renewal ... - colorado 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your application date, LSO number, and expiration date at the top of the form.
3. Fill in your personal information including your name, last four digits of your SSN, date of birth, and mailing address. Ensure all fields are completed accurately.
4. Provide your contact details such as phone numbers and email address to facilitate communication.
5. Enter your employer's business name and facility registration number along with the business address.
6. Attach documentation proving you have completed at least 24 hours of continuing education units as required.
7. Sign and date the application to affirm that all information is true and correct before submitting it.
8. Mail the completed form along with a $60 processing fee to the Colorado Department of Public Health and Environment.

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