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Forms and Publications

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Mold Remediation Worker Registration

Title Document Number
Mold Remediation Worker Initial Registration Application (PDF) MLD-LIC-001-E
Mold Remediation Worker Registration Renewal Application (PDF) MLD-LIC-002-E

Mold Assessment Technician License

Title Document Number
Mold Assessment Technician Initial License Application (PDF) MLD-LIC-003-E
Mold Assessment Technician License Renewal Application (PDF) MLD-LIC-004-E

Mold Remediation Contractor License

Title Document Number
Mold Remediation Contractor Initial License Application (PDF) MLD-LIC-005-E
Mold Remediation Contractor Renewal Application (PDF) MLD-LIC-006-E

Mold Assessment Consultant

Title Document Number
Mold Assessment Consultant Initial License Application (PDF) MLD-LIC-007-E
Mold Assessment Consultant License Renewal Application (PDF) MLD-LIC-008-E

Mold Analysis Laboratory

Title Document Number
Mold Analysis Laboratory Initial License Application (PDF) MLD-LIC-009-E
Mold Analysis Laboratory Renewal License Application (PDF) MLD-LIC-010-E

Mold Assessment Company License

Title Document Number
Mold Assessment Company Initial License Application (PDF) MLD-LIC-011-E
Mold Assessment Company License Renewal Application (PDF) MLD-LIC-012-E

Mold Remediation Company License

Title Document Number
Mold Remediation Company Initial License Application (PDF) MLD-LIC-013-E
Mold Remediation Company License Renewal Application (PDF) MLD-LIC-014-E

Mold Training Providers

Title
Mold Training Provider Accreditation Application (PDF)
Mold Training Course Approval (PDF)
Mold Training Roster (PDF)

Consumer Information Documents

Title
Consumer Mold Information Sheet (PDF)
Help! I Have Mold - What Is It? (PDF)

Other Forms

MLD-LIC-015-E Certificate of Insurance Form (PDF)

MLD-LIC-016-E Mold Company Request for Duplicate License or Change of Contact (PDF)

MLD-LIC-017-E Experience Verification Form (PDF)

MLD-LIC-018-E Mold Individual Request for Duplicate License/Registration or Change of Contact Information (PDF)

Occupational License Application Claiming to Have No Social Security Number

Criminal History Evaluation Letter

Criminal History Questionnaire (PDF)

Disciplinary Action Questionnaire (PDF)

Military Service Member, Military Veteran, or Military Spouse Supplemental Application (PDF) - see Military Spouse Frequently Asked Questions

Request to Executive Director for Expired License Renewal (PDF)