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Radon Tester/Mitigator Certification Form. SF 45703 (R2/11-99) 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by selecting the type of certification desired. Check all applicable boxes for Radon Laboratory Tester, Secondary Radon Tester, Primary Radon Tester, or Radon Mitigator, noting the associated fee of $100 for each.
- Fill in your personal information clearly. Include your last name, first name, middle initial, address, city, state, and mandatory 9-digit zip code.
- Provide your home phone number and business information including business name, address, city, state, business phone number, and fax number.
- Complete the Radon Proficiency Program (RPP) section by entering all relevant RPP I.D. numbers for residential measurement, analytical measurement, and residential mitigator.
- Ensure to enclose a copy of your RPP Photo I.D. Card and any additional documents required for specific certifications.
- Review all entered information for accuracy before submitting the form to the Indiana State Department of Health at the provided address.
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