1255 Northland DriveSt. Initial Licensure for Medical Imaging and Radiation Therapy application Duplicate or Replacement of Certificate of Licensure application Temporary License application Request for Written Verification form Legal Name Change form Provisional License Application Contact us RCB Main Phone Number: 505-476-8600 Radiation Machines - New Mexico Environment Department After you send me the email, please make sure that you get an email reply from me confirming receipt of your application packet. How frequently do you have to renew your nuclear medicine technologist license in your state? If you would like to know more about how to submit your complete application packet electronically, click here. Please enter search criteria below to start your search (enter data in any field- we will search with whatever information you provide to us- remember less is more!) NMED is associated with a number of boards, commissions, and committees that serve in a regulatory role or as technical advisors. Other Verification Resources. Iowa Radiology License : Bureau of Radiological Health. Note: Includes a sanction list and possible reasons why someone may not appear on the verification page. If you have partial information, or not sure of the exact name etc., you may use a wildcard search by placing a '*' following the partial data . Send a written request, including identifying information (your name, your Minnesota license/registration/permit number and, the address where you would like the verification mailed), and enclose a $25.00 check or money order to: Minnesota Board of Medical Practice. Review the state licensing handbooks and content specifications for ARRT-administered state licensing exams. Examination Content Specifications outline the topics that appear on our Nuclear Medicine Technology exams. After you click on PAY NOW, you will notice that a blue line appears directly under the PAY NOW, at that time you may enter your email address and zip code, (if you have two or more email addresses, please use the email address that you listed in your application form). ALL applicants, read the following notice. Individuals on this list are considered to be Active and In Good Standing and not involved in pending litigation or ongoing investigations as of the date listed. 1100 S. St. Francis Dr., Suite 2022 Note: Other Verification Resources includes Retired List, Sanctioned List, Request Status Letter, etc.). Completed application packets may still be sent by mail but may take longer to be processed. Therefore, the SDMS makes no warranty of the information provided by these organizations and state agencies. For the annual MIRTAC meeting on 12/10/2019, a motion for a Diagnostic CT credential. Therefore, the SDMS makes no warranty of the information provided by these organizations and state agencies. If you would like to know how to pay your fees electronically please, Click Here. Regulation & Licensing Department - Welcome to NewMexico.gov In addition, many states use ARRT exam scores and/or credentials when making licensing decisions. With approximately 350,000 registrants, we promote high standards of patient care with each new credential we award. Primary source equivalent: The Nursys licensure and disciplinary database is the repository of the data provided directly from New Mexico State Board of Nursing and is primary source equivalent. After you click on the payment link, you will be taken to the NMED online payment page, and you will see a place on that page that says, CLICK HERE TO PAY NOW. New Mexico Sonographer License Required by 07/01/2019 As a technologist in this field, youll create important diagnostic images. Verify the fee is correct and click "Continue Application". How many CE units are required for licensure? Public License Look-up Tool - New Mexico Public Education Department Our preferred method of application and supporting documents is through email. No. Whether you're a student, looking foreducational programs, or just beginning to explore career options, below are the resources you'll need to get started. This will switch to yes when the EIB approves the motion for the ARRT(CT) credential only. Each state's licensure information is considered a "primary source" for a sonographer license. American Registryfor Diagnostic MedicalSonography(ARDMS), American Registry of Magnetic Resonance ImagingTechnologists (ARMRIT), American Registry of Radiologic Technologist (ARRT), American Society of Radiologic Technologists (ASRT). Mailed application packets that include a check or money order will be opened by NMED staff that may be in the Santa Fe office, where all checks or money orders that are received by mail will be deposited in accordance with all NM statutes and rules, but does not mean that your application packet will be reviewed or processed until a much later date, than the date thatthe checks or money orders have been deposited. The Bureau may request additional information or impose certain conditions in the recognition letter. What is ARRT Certification & Registration? Harold Runnels Building MIRTP issued over 3500 professional licensures to operate and administer ionizing and non-ionizing radiation to humans pursuant to 20.3.20 NMAC. Paul, MN 55120-1155. The information and logos may be subject to copyright or trademark by the respective certification/credentialing organization. Read the ENTIRE notice located above, before completing any application form. Environmental Emergencies: 505-827-9329 (24 hours), Medical Imaging and Radiation Therapy Program, Radiological and Chemical Advocacy Office, Public Notices of Radioactive Material Licensing Actions, Instruction Reciprocity Recognition (PDF). Radiation Control Bureau All x-ray, radiation therapy and nuclear medicine procedures must be performed by individuals who are licensed by the Board or the Department. . Renew your Radiologic Technologist license | Mass.gov If you believe you should have access to this part of our website but do not have a working username and password, please contact the NMTCB office at (404) 315-1739. Springfield, Illinois 62704. Radiologist Assistant Program Recognition, Didactic and Clinical Competency Requirements. Medical Imaging & Radiation Therapy Program Application Forms New Mexico Regulation & Licensing Dept | License Search Radiology State License and Licensing - RTstudents.com If you want to obtain a state license, you must meet the individual states requirements and apply directly to that state. Application Forms are below the following notice. 6. This section of our website is devoted exclusively to current members of the NMTCB Board of Directors. Radiologist Assistant Program Recognition, Certain state-approved postprimary disciplines. Nuclear medicine technology is a sophisticated area of health care that helps physicians diagnose and evaluate serious conditionsincluding cancer and heart disease. Do not try and make your payment until after 5:30PM Mountain Standard Time of the day that you receive the email that includes the payment link. State Licensing - ARRT As an SDMS member you will join an exclusive network of over 28,000 sonographers and sonography students. License Renewal Application Form for Medical Imaging or Radiation Therapy, Initial Licensure for Medical Imaging or Radiation Therapy Application Form, Duplicate or Replacement Certificate of Licensure Application Form, Temporary Licensure for Medical Imaging or Radiation Therapy Application Form, REQUEST FOR WRITTEN VERIFICATION APPLICATION FORM. Use the following sonographer certification/credentialing organizations' resources to verify a sonographer's certification, credential, and registration status.2, Certification, Credential, & Registration Verification, Certification, Credential, & Registration Verification RLD Public Search You can search by license type or licensing board in the search bar below. ASRT Individual State Licensure Information If you would like to know more about how to pay your fees electronically please, click here. Contact us at 651.687.0048, then choose the option for earning an ARRT credential. 2019 Comprehensive Accreditation Manual For Hospitals (PDF Manual). The MIRTP recommends ALL application forms andtheir required supporting documents be submittedby email. Due to COVID-19, most New Mexico State Employees are teleworking from home. Box 5469, Santa Fe, NM 87502-5469; fax 505-476-8654. *ARRT no longer issues wallet cards, submit a scan of your current ARRT credentials instead of the wallet card. Licensing and regulating naturally occurring radioactive materials generated through oil and gas industry operations. Active certificants may complete their yearly renewal application, verify their certification status, view their Continuing Education cycle, or update their contact information. Privacy Terms of Use Contact Us System RequirementsSupport Refund Policy. Be sure to read the linked websites' information and instructions carefully. Welcome to Web Lookup/Verification. Santa Fe, NM 87505, Environmental Emergencies: 505-827-9329 (24 hours), Asbestos Government Ordered Demolition form, Permitting Administrative Multi-Form (PAM), GCP-Oil and Gas Registration Form Part 1 of 2, GCP-Oil and Gas Registration Form Part 2 of 2, GCP-2 Multi-Form for Quarrying, Crushing, and Screening Facilities, GCP-3 Multi-Form for Hot Mix Asphalt Plants, GCP-3 Hot Mix Asphalt Plants Carbon Monoxide Emission Calculation Tool, GCP-5 Multi-Form for Concrete Batch Plants, CommForm Communication Updates for Air Quality Permits or Notices of Intent, GCP-6 Storage Vessels Section 9: Emission Reduction Calculation Table, GCP-Temporary Control Minor Registration Form, GCP-Temporary Control Major Registration Form, Acid Rain Program Instructions for Phase II Permit Application, Landfill Control Equipment Removal Report, Relocation Form For Portable Streamline Compressor Engines, Engine Replacement Form Plume Dispersion Energy Comparison, Small Business Compliance Assessment Program Disclosure form, Smoke Management Ventilation Category Tracking form, Smoke Management Statewide Waiver Reporting form, Dry Cleaning Notice of Compliance Status Form, Initial Notification and Notification of Compliance Status Form for Gasoline Dispensing Facilities, Universal Test Notification and Report form, Universal Test Notification and Report Instructions, Universal Test Notification and Report example, Air Dispersion Modeling Waiver Request form, Hemp Extraction Facility Permit Application, Hemp Manufacturing or Processing Facility Permit Application, Edible and Topical Cannabis Manufacturer Certification Form, Cannabis Edible Manufacturing Permit Application, Environmental Information Document (EID) Outline, Request for Proposals (RFP) for Design Professional Services Template, Preliminary Engineering Report (PER) Requirements Guide_USDA bulletin 1780-2, Preliminary Engineering (PER) Report Review Checklist used by CPB, Engineering Contract Template For All Funding Programs, 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Plan template, Liquid Waste Permit Search Request Auto Fill PDF Form, Liquid Waste Permit Application Auto Fill PDF, Liquid Waste Permit or Registration Application printable version, Affidavit to keep lots/parcels adjoined in perpetuity, Sample letter for public notice of variance, Septage Pumper Qualification Certificate application, Installer Specialist Qualification Certificate application, ATS Maintenance Service Provider (MSP) Qualification Certificate application, Third Party Evaluator Qualification Certificate application, Requirements for Qualification of On-Site Professionals, Application for Homeowner Qualification Certificate, Application for Permit to Operate Food Establishment, Mobile Food Establishment (Food Truck), Food Processing Plant, or Mobile Support Unit, Registration form for baked goods prepared on tribal lands and sold in state, Ground Water Quality Bureau Discharge Permit Application (Non-dairy), Wastewater Land Application Data Sheet- 200 lbs/ac, Wastewater Land Application Data Sheet 125%, Surface Disposal Data Sheet Chile Processing Facilities, Wastewater Sampling Log- Chile & Food Processing Facilities, Dairy Discharge Permit Renewal and/or Modification Application, Dairy Discharge Permit Renewal for Closure Application, Business Concern (Public Owner, Private Operator) Disclosure Statement, Hard copy RCRA Subtitle C Activities Site Identification Form 8700-12, RCRA Subtitle C Activities Site Identification Instructions, OSHA 300, 300A, 301 Formsand Instructions, Initial Incident Report (must be filed within 24 hours of discovering a release), Instructions for completing Initial Incident Report, 30-Day Notification Form for Installations, Modifications, and Repairs, 30-Day Notification Form for Permanent Closure and Changes in Service, 30-Day Notification Form for Temporary Closure, Tank Installer, Qualified Tester, and Operator Trainer Forms, ALLD and Electronic Sump Sensor Testing Evaluation Work Sheet, ATG (Automatic Tank Gauge) and 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Therapy Application form, Request for Written Verification Application form, Particle Accelerator Facility Registration, Amendment or Renewal form, Registration to Operate Radiation Machine form, Instructions for Applying to use Radiation Machines, Medical Diagnostic or Industrial Radiation Machine Facility Application, Form Required for Change of Control or Change of Ownership or both (including name change), Authorized Medical Physicist Preceptor (pdf), Authorized Nuclear Pharmacist Perceptor (pdf), Authorized User Diagnostic Use Preceptor (pdf), Authorized User Therapy Use Preceptor (pdf), Authorized User Sealed Source Therapy Use Preceptor (pdf), Instruction on How to fill-out Preceptor Form (pdf), Licensee Ownership Transfer Name Change Form, General License Application Small Uranium Thorium water filtration systems, General License Registration Form Device Attachment, Out of State Radiation Machine 2 day notification, Reciprocity Recognition form instructions, Financial Assurance Estimate Summary (for landfills), Financial Assurance Estimate Summary Simplified (for transfer stations), 2022 Annual Report Form: Tire Recycling Facility, 2022 Annual Report Form: Scrap Tire Hauler, 2022 Annual Report Form: Civil Engineering Applications, Collection Center Registration Application, Compost Facility Registration Application, Recycling Facility Registration Application, Air Curtain Incinerator Registration Application, Small Animal Crematorium Registration Application, Annual Financial Assurance Cost Estimate Form Transfer Station, Annual Financial Assurance Estimate Worksheets, Irrevocable Standby Letter of Credit (NM Gov Ent as Payee), Irrevocable Standby Letter of Credit (NMED as Payee), Performance Bond (NM Gov Ent as Beneficiary), Standby Trust Agreement (NM Gov Ent as Beneficiary), Standby Trust Agreement (NMED as Beneficiary), Trust Agreement (NM Gov Ent as Beneficiary), Commercial & Special Waste Hauler Registration Form, Help Completing Contingency Plan (Special Waste Haulers Only), Scrap Tire Manifest for Generators (for scrap tire generators that self-haul), Tire Recycling/Storage Facility Application, Affidavit Of Compliance with Local Regulations, Property Owner Affidavit of Acknowledgement, Operator Certification Application (Initial), Operator Certification Application (Renewal), FY24 RAID Grant Illegal Dumpsite Abatement Application, FY24 RAID Grant Additional Dumpsite Information page, On-Site Disposal of Domestic Waste Request Form. We offer such examsin: ARRT also developed (and administers) three additional exams specifically for state licensing purposes: If you already know that ARRT administers your states licensing exam, learn more aboutapplying for and scheduling your state exam. The SDMS is the largest association of sonographers and sonography students in the world. Section 20.3.2.211 of the New Mexico Radiation Protection Rules (20.3 NMAC) provides the criteria for regulating reciprocal recognition of radiation machine registration or license in another state. When the MIRTP has determined that you have submitted a complete application packet, an invoice will be created, and you will be sent a separate email, which will contain a link to make your payment. Note that to be licensed as a sonographer, NM requires at least one current sonography certification/credential from the American Registry for Diagnostic Medical Sonography (ARDMS), Cardiac Credentialing International (CCI), or American Registry of Radiologic Technologists (ARRT). These adjunctive medications are approved in our Scope of Practice for the SNMMI, NMTCB and the ARRT. The MIRTP is recommending that ALL application forms and their required supporting documents be submitted Electronically, because ALL NM STATE GOVERNMENT BUILDINGS AND NM LEASED STATE OFFICES ARE NOW CLOSED TO THE PUBLIC. LOG IN. For information regarding this page, contact Carl Sullivan of the Bureau atcarl.sullivan@state.nm.us. Select the contact information from your MiPLUS account. Enter the licensee number for the license you would like verified. Earning ARRT certification and registration is challenging, yet very achievable. Quickly verify the certification status of an individual nuclear medicine technologist. 1190 St. Francis Dr. Suite N4050 Apply to the NM Board of Dental Health Care for a training permit, valid for six months, AND; Pass a state radiography clinical exam, within six months of passing the DANB RHS exam, AND; Pass the New Mexico state jurisprudence exam (take-home), AND; Apply to the New Mexico Board of Dental Health Care for certification to perform radiography. Verification / Minnesota Board of Medical Practice Tel: +1 214.473.8057 or 1.800.229.9506 X-RAY RECIPROCAL RECOGNITION - New Mexico Environment Department RADIATION MACHINES. To view a list of Active NM Medical Imaging and Radiation Therapy Professionals Licensees click here. How to check. Select the topic you are interested in and explore the resources contained within. Voluntary assistance programs help businesses to meet and go beyond compliance and also offer leadership recognition. You are viewing an older (archived) version of the New Mexico Environment Department's Website. Application and other forms used for Medical Imaging and Radiation Therapy Program include: Contact information for Radiation Control Bureau staff is available here. When your payment has been accepted by Wells Fargo Bank, you should receive a separate payment confirmation email from Wells Fargo Bank. Email a complete application packet to stephen.sanchez@state.nm.us which includes all the required supporting documents that are requested in each type application form. Temporary Licensure for Medical Imaging or Radiation Therapy Application Form REQUEST FOR WRITTEN VERIFICATION APPLICATION FORM LEGAL NAME CHANGE APPLICATION FORM Contact us RCB Main Phone Number: 505-476-8600 Contact information for Radiation Control Bureau staff is available here. PDF License Renewal Application Form for Medical Imaging or Radiation Therapy More than 75% of states have licensing laws covering the practice of radiologic technology. Public License Look-up Tool Rebecca.Elicio2 2022-10-03T09:50:25-06:00 The Professional Licensure Bureau online license look-up tool is updated once every 24 hours. Can I change my NMTCB CE reporting cycle to match my continuing education cycle with another organization? Asbestos NESHAP Notification form(Instructions) (Example)Asbestos Emergency Notification formAsbestos Government Ordered Demolition form, Permitting Administrative Multi-Form (PAM)AQB ePermitting PortalCompliance History Disclosure FormGCP-Oil and Gas Registration Form Part 1 of 2GCP-Oil and Gas Registration Form Part 2 of 2GCP-Oil and Gas Stack CalculatorAir Emissions Calculation ToolNOI Oil and Gas Abbreviated Portal FormUniversal Air Quality Permit ApplicationGCP-2 Multi-Form for Quarrying, Crushing, and Screening FacilitiesGCP-3 Multi-Form for Hot Mix Asphalt PlantsGCP-3 Hot Mix Asphalt Plants Carbon Monoxide Emission Calculation ToolGCP-5 Multi-Form for Concrete Batch PlantsCommForm Communication Updates for Air Quality Permits or Notices of IntentNSR Equipment Substitution FormNSR Relocation ApplicationGCP-6 Storage Vessels Registration FormGCP-6 Storage Vessels Section 9: Emission Reduction Calculation TableGCP-Temporary Control Minor Registration FormGCP-Temporary Control Major Registration FormACI Title V Permit ApplicationTitle V Application EPA Transmittal FormAcid Rain Program Instructions for Phase II Permit ApplicationAcid Rain New Unit ExemptionLandfill Design Capacity Report FormLandfill NMOC Emission Rate ReportLandfill Closure ReportLandfill Control Equipment Removal ReportRelocation Form For Portable Streamline Compressor EnginesEngine Replacement Form Plume Dispersion Energy ComparisonCotton Gin Permit Application Supplement, Compliance Assessment Agreement formSmall Business Compliance Assessment Program Disclosure formSmall Business Certification form, Smoke Management Ventilation Category Tracking formSmoke Management Visual Monitoring formSmoke Management Statewide Waiver Reporting form, Dry Cleaning Notice of Compliance Status Form2021 Dry Cleaner Compliance CalendarInitial Notification and Notification of Compliance Status Form for Gasoline Dispensing Facilities, Method 9 Opacity record keeping formMethod 22 Observation form, Universal Test Notification and Report formUniversal Test Notification and Report InstructionsUniversal Test Notification and Report example, Air Dispersion Modeling Waiver Request formModeling report form, Hemp Extraction Facility Permit ApplicationHemp Manufacturing or Processing Facility Permit ApplicationHemp Warehouse Permit ApplicationEdible and Topical Cannabis Manufacturer Certification FormHemp Variance ApplicationCannabis Edible Manufacturing Permit Application, CWSRF ApplicationAsset Management Plan Outline TemplateEnvironmental Information Document (EID) Outline, Request for Proposals (RFP) for Design Professional Services TemplatePreliminary Engineering Report (PER) Requirements Guide_USDA bulletin 1780-2Preliminary Engineering (PER) Report Review Checklist used by CPB, Engineering Contract Template For All Funding ProgramsEngineering Contract Template Attachment I InsuranceEngineering Contract Template Attachment II Planning PhaseEngineering Contract Template Attachment III Design PhaseEngineering Contract Template Attachment IV Construction PhaseEngineering Contract Template Attachment V Operation PhaseEngineering Contract Template Attachment VI Amendment to Engineering Contract, Disinfection By-Products Stage 2 Operational Evaluation, Distribution System Sampling Plan templateSurface Water Treatment System Monthly Operating Report, Construction or Modification of Public Water Supply System ApplicationConstruction Application Checklist, Construction or Modification Change Order Notification, Construction Project Completion Notification, Potable Water Hauling ApplicationPotable Water Hauling Application Checklist, Virus Inactivation by Chlorine Certification (hypochlorination)Virus Inactivation Certification Checklist, Drinking Water Laboratory Certification Program (DWLCP) Guidance ManualApplication for Laboratory Certification Appendix AChecklist for Laboratory Certification Application Appendix BLaboratory Certification Best Practices Appendix CDWLCP Acknowledgement Form Appendix DSubcontract Lab Request Form Appendix E, Template for Quarterly QA Report Appendix F, Corrective Action Response for Audit Findings Appendix G (Micro Labs Only), Examples of Chain-of-Custody Forms Appendix H, Registration Instructions for SDWIS LabToState Appendix I, Corrective Action Response for PT Study Failures (Micro Labs Only) Appendix J, RTCR Sample Reporting and Notification (LabToState) Appendix K, Public Water System Emergency Response Plan templatePublic Water Systems Operation & Maintenance Plan template, Utility Operator Certification Program exam application, Liquid Waste Permit Search Request Auto Fill PDF FormLiquid Waste Permit Application Auto Fill PDFLiquid Waste Permit or Registration Application printable versionApplication ChecklistSite Plan Submittal ChecklistAffidavit to keep lots/parcels adjoined in perpetuityVariance application | Variance application guidance | Variance ChecklistSample letter for public notice of varianceTank Abandonment FormSeptage Pumper Qualification Certificate applicationInstaller Specialist Qualification Certificate applicationInstaller Specialist renewal applicationATS Maintenance Service Provider (MSP) Qualification Certificate applicationThird Party Evaluator Qualification Certificate applicationRequirements for Qualification of On-Site ProfessionalsApplication for Homeowner Qualification Certificate, Application for Permit to Operate Food Establishment, Mobile Food Establishment (Food Truck), Food Processing Plant, or Mobile Support UnitApplication for Temporary Food EventManufactured Food Permit ApplicationRegistration form for baked goods prepared on tribal lands and sold in stateApplication for Food Variance, InstructionsSign in SheetHandout and Trainer NotesPresentation, Employee Health HandbookEmployee Interview FormEmployee Illness Reporting AgreementEmployee Medical Referral FormEmployee Illness Decision GuideFood Worker Decision Guide, Ground Water Quality Bureau Discharge Permit Application (Non-dairy)Notice of Intent to DischargeUIC General Discharge Permit ApplicationWastewater Land Application Data Sheet- 200 lbs/acWastewater Land Application Data Sheet 125%Fertilizer LogSurface Disposal Data Sheet SeptageSurface Disposal Data Sheet SludgeSurface Disposal Data Sheet GreaseSurface Disposal Data Sheet Chile Processing FacilitiesWastewater Sampling Log- Chile & Food Processing FacilitiesVoluntary Remediation ApplicationDairy Discharge Permit Renewal and/or Modification ApplicationSupplemental Form 1-R (Dairy)Supplemental Form 2-R (Dairy)Supplemental Form 3-R (Dairy)Supplemental Form 4-R (Dairy)Dairy Discharge Permit Renewal for Closure ApplicationSupplemental Form 1-C (Dairy)Supplemental Form 2-C (Dairy)Supplemental Form 3-C (Dairy)New Dairy Discharge Permit ApplicationSupplemental Form 1-A (Dairy)Supplemental Form 1-B (Dairy)Supplemental Form 1-C (Dairy), Business Concern Disclosure StatementGovernmental Entity Disclosure StatementKey Employee 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FormForms for inspection and testing of spill and overfill prevention equipment and containment sumps(scroll down on the page that this link brings you to until you see Download Appendix, then click on the appropriate form under that), Alternate Method FormRequest for Extension of Temporary Closure of Storage Tank SystemRequest for Compliance DeterminationUST O&M ChecklistAST O&M Checklist, Petroleum Storage Tank Registration FormPetroleum Storage Tank Registration InstructionsChange in Ownership Form, Request for Compliance DeterminationCorrective Action Fund Pamphlet: Processes for Payment from the Corrective Action FundCAF Reimbursement Applications InstructionsResponsible Party Reimbursement Claim FormAffirmation and Assent to AuditCost Detail Form Summary SheetDisclosure Form ConsultantDisclosure Form Tank Owner/OperatorDisclosure Form AffidavitState Lead Claim FormReimbursementQuestions and AnswersCompetitive Bid Guidelines, Application form for first time installer 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notificationReciprocity Recognition form instructions, Log in to SEPAnnual Report InstructionsLandfill Capacity Calculation WorksheetFinancial Assurance Estimate Summary (for landfills)Financial Assurance Estimate Summary Simplified (for transfer stations)Environmental Monitoring SummaryAnnual Reporting Information FormTutorial: SEP RegistrationTutorial: Logging in to SEP2022 Annual Report Form: Tire Recycling Facility2022 Annual Report Form: Scrap Tire Hauler2022 Annual Report Form: Civil Engineering Applications, Collection Center Registration ApplicationCompost Facility Registration ApplicationRecycling Facility Registration ApplicationAir Curtain Incinerator Registration ApplicationSmall Animal Crematorium Registration Application, Main Disclosure StatementBusiness Concern Disclosure StatementGovernmental Entity Disclosure StatementKey Person Disclosure StatementPersonal History Disclosure StatementBusiness Concern (Public Owner, Private Operator) Disclosure StatementSubsidiary Disclosure Statement, Annual Financial Assurance Cost Estimate Form Transfer StationAnnual Financial Assurance Estimate WorksheetsCertificate of InsuranceIrrevocable Standby Letter of Credit (NM Gov Ent as Payee)Irrevocable Standby Letter of Credit (NMED as Payee)Local Government Reserve ResolutionPerformance Bond (NM Gov Ent as Beneficiary)Performance Bond (NMED as Beneficiary)Standby Trust Agreement (NM Gov Ent as Beneficiary)Standby Trust Agreement (NMED as Beneficiary)Trust Agreement (NM Gov Ent as Beneficiary)Trust Agreement (NMED as Beneficiary), Commercial & Special Waste Hauler Registration FormHelp Completing Hauler Registration FormHelp Completing Contingency Plan (Special Waste Haulers Only)Special Waste Manifest FormHauler Unauthorized Waste Tng Outline, Scrap Tire Hauler Registration FormScrap Tire Hauler Bond FormScrap Tire Manifest Form for HaulersScrap Tire Manifest for Generators (for scrap tire generators that self-haul), Civil Engineering Application (Small) for projects using 101 to 999 scrap tires and that are no more than 2 bales highCivil Engineering Application (Medium) for projects using 1000 to 99,999 scrap tires and that are no more than 2 bales highCivil Engineering Application (Large) for projects using 100,000 scrap tires or more or that are more than 2 bales highTire Recycling/Storage Facility ApplicationAffidavit Of Compliance with Local RegulationsProperty Owner Affidavit of Acknowledgement, Operator Certification Application (Initial)Operator Certification Application (Renewal)Alternate CEU Approval Form, FY24 RAID Grant Recycling ApplicationFY24 RAID Grant Illegal Dumpsite Abatement ApplicationFY24 RAID Grant Additional Dumpsite Information page, Solid Waste Facility Grant Fund Application FY24, On-Site Disposal of Domestic Waste Request FormSWB Rules Document, Headquarters Location
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