Sanitarian Registration Program Applications-Forms

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

Sanitarian Application and Upgrade Packet (Word format, 206KB)
Sanitarian Application and Upgrade Packet (Adobe acrobat format, 168KB)

Sanitarian Renewal Form (Word format, 33KB)
Sanitarian Renewal Form (Adobe acrobat format, 49KB)\

Sanitarian Reference Form (Word format, 116KB)
Sanitarian Reference Form (Adobe acrobat format, 43KB)

Sanitarian-in-training Supervision Form (Word format, 116KB)
Sanitarian-in-training Supervision Form (Adobe acrobat format, 44KB)

Replacement Registration Affidavit Form (Word format, 37KB)
Replacement Registration Affidavit Form (Adobe acrobat format, 55KB) 

Continuing Education Information Sheet (Word format, 74KB)
Continuing Education Information Sheet (Adobe acrobat format, 53KB)

Continuing Education Provider Form - For-Profit Providers (Word format, 45KB)
Continuing Education Provider Form - For-Profit Providers (Adobe acrobat format, 50KB) 

Request for Retired Professional Sanitarian Exemption Form (Word format, 83KB)
Request for Retired Professional Sanitarian Exemption Form (Adobe acrobat format, 35KB)

Request for Accommodation for Sanitarian Exam Form (Word format, 121KB)
Request for Accommodation for Sanitarian Exam Form (Adobe acrobat format, 77KB)

Registered Sanitarian Candidate Handbook (Adobe acrobat format, 675KB)



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 April 10, 2014