Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 159 - Certification And Training Course Requirements For Asbestos Activities › Subchapter II - Certification Requirements For Individuals › Section DHS 159.07 - Application requirements for initial and renewal certification

Current through June 24, 2024
Only individuals who meet the eligibility requirements
					 under s.
					 DHS
					 159.05(4) may apply for initial or
					 renewal certification. An eligible individual shall apply to the department for
					 initial or renewal certification on an application form obtained from the
					 department. The applicant shall submit the following to the department:
(1) The fully and accurately completed
				  department application form signed and dated by the applicant.
(2) The applicable fee under s.
				  DHS
				  159.08 for the discipline in which the applicant is
				  applying.
(3) For initial
				  application, the applicant's social security number or, if the applicant does
				  not have a social security number, a signed statement, made under oath or
				  affirmation, that the applicant does not have a social security number, as
				  required under ss.
				  250.041
				  and
				  254.115,
				  Stats.
(4) For initial application,
				  training certificates from any previously completed training courses required
				  for certification in the discipline unless previously provided to the
				  department by the applicant or a department-accredited training provider.
Note:
Application forms are available on the
					 department's website at
www.dhs.wi.gov/asbestos
or may be
					 obtained from the Asbestos and Lead Unit: plicasbstoslead@dhs.state.wi.us;
					 608-261-6876; 1 W. Wilson St, Room 137, PO Box 2659, Madison, WI 53701-2659.
Note:
Submit application and fee to Asbestos
					 and Lead Unit: 1 W. Wilson St, Room 137, PO Box 2659, Madison, WI 53701-2659;
					 (fax) 608-266-9711; plicasbestoslead@dhs.state.wi.us. For application submitted
					 by fax or email payment may be made only by credit or debit charge to a VISA or
					 MasterCard.
Note:
Sections
					 250.041
					 and
					 254.115,
					 Stats., require an applicant for certification to provide the department with
					 the applicant's social security number. Under s.
					 254.115(3),
					 Stats., the department is required to deny certification to an applicant who
					 does not provide the department his or her social security number or, if the
					 applicant does not have a social security number, a signed statement, made
					 under oath or affirmation, that the applicant does not have a social security
					 number. The form required for the statement is available from the Asbestos and
					 Lead Unit: plicasbestoslead@dhs.state.wi.us; 608-261-6876; or 1 W. Wilson St,
					 Room 137, PO Box 2659, Madison, WI 53701-2659.
The department must have on file the appropriate initial
						training course certificate and all required annual refresher course
						certificates for each discipline for which an individual is applying. Training
						certificates submitted with previous applications to the department need not be
						re-submitted. Training certificates for training taken in Wisconsin after the
						publication date of this chapter need not be submitted. Under s.
						DHS
						159.22(18), Wisconsin training
						providers must submit students' course completion and certificate information
						directly to the department.