Sanitarian Registration Program Applications-Forms

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obtain a copy of the following publications now - click on your selection.

#F82-11543 Sanitarian Application Packet (Word format, 143 KB)
#F82-11543 View and print a copy of the Sanitarian Application Packet  in Adobe Acrobat (.pdf) format, 91 KB

#EF82-12232 - RS Renewal Form (MS Word format, 24 KB)
#EF82-12232 - RS Renewal Form (Adobe Acrobat format, 9 KB)

#F82-11518 Statement of Continuing Education Form, MSWord format, 35 KB
#F82-11518 Statement of Continuing Education Form, Adobe Acrobat format, 16 KB

#F82-11487 Replacement Registration Affidavit (Download in MSWord, 31 KB)
#F82-11487 Replacement Registration Affidavit (View and Print in Adobe Acrobat, 26 KB)

#82-11416 Continuing Education Information Sheet (View and Print in Adobe Acrobat format, 53 KB)
#82-11416 Continuing Education Information Sheet (Download in MSWord format, 26 KB)

#F82-11947 Continuing Education Provider Form - For-Profit Providers Only (MS Word format, 23 KB)
#F82-11947 Continuing Education Provider Form - For-Profit Providers Only (Adobe Acrobat format, 8 KB)

To access documents in Adobe Acrobat format, you must download the Acrobat Reader software. Please see the DSHS file viewing page for more information and a link to the Adobe website.

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Last updated October 27, 2010