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Mold Professional License Application

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Please fill out the application below to open a Licensed Mold Professional account. This account will allow individual applicants to apply for a license as a Mold Assessor and/or Mold Remediator, as well as carry out the ongoing notification duties required for all mold professionals.

Please allow 2-3 business days for processing. If additional information is needed, applicants will be contacted via email.

License Fees

  • $300 For Initial Licenses
  • $105 For Renewal Licenses

Application Required Documents

  • Passport-type photograph of yourself
  • Proof of Insurance (General Liability & Errors and Omission)
  • Proof of passing qualified mold examination
  • Documented relevant field experience - Employment Verification Form or Proof of Previous Mold Projects
  • Proof of Education (where applicable-College Graduate)
  • Proof of Existing Professional (where applicable)

as College Graduate

  • Copy of Diploma or Degree with thirty semester hours in microbiology, engineering, architecture, industrial hygiene, occupational safety, or a related field of science from an accredited institution and a minimum of one (1) year of documented relevant field experience

as Existing Professional

  • A certified industrial hygienist, a professional engineer, a professional registered sanitarian, a certified safety professional, or a registered architect, with at least six (6) months of documented relevant field experience

as High School Graduate

  • A high school diploma or the equivalent with a minimum of three (3) years of documented relevant field experience.

Mold Professional License/Account Application

 

 

 

 

STEP 1: CONTACT/PERSONAL INFORMATION

 

 

 

 

 

 

 

 

Please use the conventional phone number format "202-999-9999" 

 

Please use the following format for Date of Birth "09/20/2000" remember applicants under the age of 18 will be denied.

 

 

 

 

STEP 3: PROOF OF INSURANCE




STEP 4: PROOF OF APPROVED EXAM

STEP 5: AFFIDAVIT AND CLEAN HANDS


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