We license and regulate 1,300+ radiation machine facilities statewide used in such applications as healing arts, industry, and research. The MIRTP recommends ALL application forms andtheir required supporting documents be submittedby email. Application and other forms used for Medical Imaging and Radiation Therapy Program include: Contact information for Radiation Control Bureau staff is available here. 1100 S. St. Francis Dr., Suite 2022 LOG IN. Yes, 9. The NMTCB considers this Primary Source Verification as defined by The Joint Commission. 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. NMED is associated with a number of boards, commissions, and committees that serve in a regulatory role or as technical advisors. 24 units every 2 years, To be determined by NM State Legislation. 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. New Mexico 87505; tel (800) 219-6157 We touch everyday activities of every New Mexican, while ensuring fair and prompt administrative process to help spur economic . 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, Initial Licensure for Medical Imaging and Radiation Therapy application, Duplicate or Replacement of Certificate of Licensure application. To be determined by NM State Legislation. The information and logos may be subject to copyright or trademark by the respective certification/credentialing organization. Task Inventory lists the job responsibilities typically required of technologists working in nuclear medicine technology. How to check. This section of our website is devoted exclusively to current members of the NMTCB Board of Directors. Please see the MIRTP web page /rcb/mirtp/ for information regarding how to submit your complete application packet ELECTRONICALLY, and how the ELECTRONIC PAYMENT PROCESS works by clicking on the two links are located below all the application forms that appear on the MIRPT WEB PAGE. Search for License. 1255 Northland DriveSt. The application process for ARRT certification and registration has many detailed stepsbut don't worry. Order NMTCB replacement certificates, scrubs, polo shirts, patches, pins, mugs, and more. Santa Fe, NM 87502-5469, Physical Address In those states, you must obtain a state license before you can work as a radiologic technologist. NM rules that require an original NM medical imaging and radiation therapy certificates of licensure at each place of employment in NM prior to performing any medical imaging or radiation therapy procedures are still in effect. Fax: +1 214.473.8563, 2023 Society of Diagnostic Medical Sonography 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. New Mexico Statutory Authority and Rules: Radiologic Technology Certification Rules (20.3.20 NMAC), Statutory Authority (Search Article 14E section 61). 2 N. Meridian, 5th Floor. Radiologist Assistant Program Recognition, Certain state-approved postprimary disciplines. Does your state require a specialty license for CT attenuation correction. If you cant find what you are looking for, we encourage you to use our. Nuclear Medicine Technology Certification Board, Inc. Is recognized in the nuclear medicine profession as the premier examination for nuclear medicine technologists. 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. 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. Legislation, Regulations and Advocacy Legislation, Regulations and Advocacy Individual State Licensure Information In This Section Listed below are links to each state's information regarding radiologic technologist licensure, certification or recognition. 1255 Northland DriveSt. Radiation Machine Reciprocity forms available by downloading (Microsoft Word format): Instruction Reciprocity Recognition (PDF)Reciprocity 2-day Notification Form (PDF). Is recognized by state licensure agencies throughout the United States. Nuclear medicine technology is a sophisticated area of health care that helps physicians diagnose and evaluate serious conditionsincluding cancer and heart disease. 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. DISCLAIMER: The SDMS is not a primary source or a credentials verification organization (CVO). Currently, only the following 4 U.S. states license sonographers. RLD License Search. Start by asking if your state requires ARRT certification and registration or if it uses ARRT as its exam administrator for state licensing purposes. You may also want to review ourstate licensing FAQs. This section of our website is devoted exclusively to NMTCB Certificants. Box 5469, Santa Fe, NM 87502-5469; fax 505-476 . New Mexico Environment Department Examination Content Specifications outline the topics that appear on our Nuclear Medicine Technology exams. RADIATION MACHINES. Individuals whose names that appear on the following PDF file are considered to be Active and In Good Standing and no pending litigation or ongoing investigations on the date the PDF file was created and uploaded. Youll also provide support to nervous patients by explaining what they should expect. Assisting federal employees who were harmed by past exposures to radioactive materials through the Radiological & Chemical Advocacy Office. Contact information for Radiation Control Bureau staff is available here. License Renewal Application form for Medical Imaging or Radiation Therapy . Indiana Radiology License : Indoor and Radiological Health. For the annual MIRTAC meeting on 12/10/2019, a motion for a Diagnostic CT credential. The New Mexico State Board of Nursing's on-line verification is a service provided to licensees, employers and the public. What is ARRT Certification & Registration? Primary source verification is often required during the sonographer hiring process or when a sonograph er certification, credential, registration, or state license is . If you cant find what you are looking for, we encourage you to use our search tool,online services, or department & agencies page. Paul, MN 55120-1155. For out-of-state registrants entering New Mexico under reciprocal recognition of their radiation machine registrations. This will switch to yes when the EIB approves the motion for the ARRT(CT) credential only. In addition, many states use ARRT exam scores and/or credentials when making licensing decisions. New Mexico Regulation and Licensing Web Lookup/Verifcation. Applications for licensure to operate x-ray, therapy, or perform nuclear medicine administrations to humans may be submitted and fees paid online. 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. 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 The New Mexico Regulation and Licensing Department maintains this search feature as a service for consumers and the public to quickly check the license status of individual professionals. Due to recent developments regarding the spread of COVID-19 (coronavirus), it is strongly encouraged that ALL applications that are submitted to the Medical Imaging & Radiation Therapy Program (MIRTP) be done so Electronically, which will include Electronic Payments for all NM medical imaging and radiation therapy licenses and any of the other related services provided by the MIRTP. 335 Randolph Avenue Suite 140. With approximately 350,000 registrants, we promote high standards of patient care with each new credential we award. Note: On the NH website, select "Med Imaging Radiation Therapy" from the "Profession" dropdown list. Your responsibilities will include preparing and injecting radiopharmaceutical agents into patients, then using a scanner or camera to capture images. Paul, MN 55120-1155. Please forward that email to. Application Forms are below the following notice. After you have entered your email address and zip code, click on the GREEN, Pay Now box. Does your state license nuclear medicine technologists? We are the premier certification board for nuclear medicine technologists. Learn more about therequirements you'll need to meet along the way, including those in education, ethics, and examination. The Nuclear Medicine Technology Certification Board Has Developed a Post-Primary Computed Tomography (CT) Credential. For information regarding this page, contact Stephen Sanchez at stephen.sanchez@state.nm.us. Any work in the State of New Mexico using out-of-state radiation producing devices is prohibited unless a reciprocal recognition letter from the Department Radiation Control Bureau is issued to the applicant. It will take time and commitmentbut your hard work will pay off. Note: Information is also provided about those who are subject to probation/sanction or not found. Many states that require licensure for technologists ask ARRT to administer our exams for their licensing purposes. After you click on that, you will be taken to another web page. This will switch to yes when the EIB approves the motion for the ARRT(CT) credential only. In those states, you must obtain a state license before you can work as a radiologic technologist. Does your state require CE for licensing? Joint Commission Resources. We assist businesses to protect the environment, worker safety, and public health. As a technologist in this field, you'll create important diagnostic images. This section of our website is devoted exclusively to current members of the NMTCB Board of Directors. Having trouble finding what you are looking for?Feel free to contact us or use our A to Z page to find an alphabetical list of pages and services available on this site. Springfield, Illinois 62704. For information regarding this page, contact Carl Sullivan of the Bureau atcarl.sullivan@state.nm.us. Enter the licensee number for the license you would like verified. Nuclear Medicine & Molecular Imaging Week, Radiopharmaceutical Therapy Centers of Excellence, Nuclear Medicine Clinical Trial Group, LLC, About Nuclear Medicine & Molecular Imaging, Continuing Education Committee (SNMMI-TS). As an SDMS member you will join an exclusive network of over 28,000 sonographers and sonography students. 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. @Copyright 2022 NewMexico.gov | Contact | Online Services | Departments & Agencies, Below you will find helpful information categorized by topic. NM rules that require an original NM medical imaging and radiation therapy certificates of licensure at each place of employment in NM prior to performing any medical imaging or radiation therapy procedures are still in effect. ALL application packets shall be submitted to the Medical Imaging & Radiation Therapy Program (MIRTP) by email to stephen.sanchez@state.nm.us and all fees shall be paid electronically. *HOWEVER, if an RT(R) or RT(CT) obtain an ARRT(N) or NMTCB(PET), they can apply for the (Fusion Imaging (FUS) PET/CT only) type of license to allow them to perform PET/CT only. VERIFY CREDENTIALS This directory is the primary source for verifying someone's ARRT certification and registration status. If you . To be determined by NM State Legislation. In other words, somebut not allstates require you to be certified and registered through ARRT before you can obtain a state license. Santa Fe, New Mexico 87505, Harold L. Runnels Building // 1190 St. Francis Drive, Suite N4050 // Santa Fe, New Mexico 87505 // tel (800) 219-6157, (505) 827-2855, Welcome to the Medical Imaging & Radiation Therapy Program, To view a list of Active NM Medical Imaging and Radiation Therapy Professionals Licensees. Does your state license radiology technologists? 2745 Dallas Pkwy Ste 350, Plano, TX 75093 USA 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. Primary source verification is often required during the sonographer hiring process or when a sonographer certification, credential, registration, orstate licenseis renewed (e.g., asrequired by The Joint Commission's Standard HR.01.01.01 EP2 & EP31). IMPORTANT: Effective April 07, 2023 The New Mexico Regulation and Licensing Department has implemented an online licensing system for all Dental Health Care occupations. Does your state recognize the CT certification from the ARRT, NMTCB, or both? The Medical Imaging Radiation Therapy Health and Safety Program regulation authority is through NMSA 1978, 61-14E-1 to 12: Medical Imaging and Radiation Therapy, Health and Safety Act and 20.3.20 NMAC. The SDMSprovides opportunities to earn and offer continuing medical education (CME). The New Mexico Regulation and Licensing Department strives to ensure that New Mexicans receive quality care and services from qualified individuals and businesses in different industries, professions and trades. Quickly verify the certification status of an individual nuclear medicine technologist. New Mexico Regulation & Licensing Department | Contact Us | Sitemap 2550 Cerrillos Road, Santa Fe, NM 87505 | Get Directions 5500 San Antonio Dr., Albuquerque, NM 87109 | Get Directions 505 South Main Street, Las Cruces, NM 88001 | Get Directions 1209 Camino Carlos Rey, Santa Fe, NM 87507 | Get Directions Employee Resources: Completed application packets may still be sent by mail; however, NMED internal mail distributions within NMED buildings may be limited, so if you decide to mail your completed application packets, check or money, the processing of your request may be delayed. Renewal Application Form Revised October 12, 2021 - Page 1 of 4 . Certification/Credentialing Organizations. Oakbrook Terrace, IL:2018:HR-3. All certificants may access this portion of the website in order to see the contact information currently on file for them individually. https://www.asrt.org/docs/default-source/practice-standards/ps_nm.pdf?sfvrsn=1ee176d0_22. 8. 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). Commonwealth of Massachusetts / Radiation Control Program How to renew By mail + If at any time you have changes to the information submitted on the form, please update and send the appropriate documentation to RadiationControl@massmail.state.ma.us. *ARRT no longer issues wallet cards, submit a scan of your current ARRT credentials instead of the wallet card. Review the state licensing handbooks and content specifications for ARRT-administered state licensing exams. The Society of Diagnostic Medical Sonography (SDMS) is a professional membership organization founded in 1970 topromote, advance, and educate its members and the medical community in the science of diagnostic medical sonography. The ARRT Verify Credential page is located on their web site, click on the following link https://www.arrt.org/pages/verify-credentials Initial Licensure for Medical Imaging and Radiation Therapy Application Form Duplicate or Replacement of Certificate of Licensure Application Form Temporary License Application Form Select the topic you are interested in and explore the resources contained within. This resource simply links users to each available primary source for verification of sonographer certifications, credentials, registrations, and licenses. NOTE: if you get an error message that prevents you from getting into the web page where you enter your payment information, it may be that you have tried to make your payment before 5:30PM Mountain Standard Time of the day that you receive the email that included the payment link. Radiation Control Program (617) 242-3035 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). NOTE: We recommend creatinga bookmark, favorite, or shortcut(depending on the browser and computer/device) to this page for rapid access to these resources in the future. This website, including the certification information provided, is solely maintained by the NMTCB. Averification letter request form is available (PDF). Completed application packets may still be sent by mail but may take longer to be processed. This list is maintained by the Radiation Control Bureau and includes all Active Radiologic Technologists licensed by the New Mexico Medical Imaging and Radiation Therapy Program. NMED works with all types of businesses in New Mexico to issue permits and licenses for complying with state and federal regulations. Box 5469 . Payments included with mailed application packets may be deposited (in accordance with state statute) before an application packet has been fully reviewed and processed. Public License Look-up Tool How frequently do you have to renew your nuclear medicine technologist license in your state? Wastewater Treatment Finder (Septic Systems), New Mexico Energy, Minerals and Natural Resources Department, New Mexico Office of Natural Resources Trustee, U.S. Environmental Protection Agency (Region 6), Occupational Safety & Health Administration (OSHA), Occupational Health & Safety Review Commission, Medical Imaging & Radiation Therapy Council, Radiation Technical Advisory Council Members, Public Notices of Radioactive Material Licensing Actions, Medical Imaging and Radiation Therapy Program, Radiological and Chemical Advocacy Office, Conference of Radiation Control Program Dirs, Federal & State Material and Environment Mgmt, Particle Accelerator Facility Registration, https://www.arrt.org/pages/verify-credentials, Medical Imaging & Radiation Therapy Program Forms. Reciprocal recognition of a radiation machine registration will allow the registrant to work on sites within the State of New Mexico for not more than 180 days in a calendar year. Can I change my NMTCB CE reporting cycle to match my continuing education cycle with another organization? These adjunctive medications are approved in our Scope of Practice for the SNMMI, NMTCB and the ARRT. Formed in 2009, the SDMS Foundation is a nonprofit charitable organization affiliated with the SDMS. Essential resources for "primary source" verification of sonographer certification, credential, registration, or state licensure. The following is a step by step breakdown of the application process for all NM medical imaging and radiation therapy licenses andother related services provided by the MIRTP. Board of Directors. American Registryfor Diagnostic MedicalSonography(ARDMS), American Registry of Magnetic Resonance ImagingTechnologists (ARMRIT), American Registry of Radiologic Technologist (ARRT), American Society of Radiologic Technologists (ASRT). MIRTP issued over 3500 professional licensures to operate and administer ionizing and non-ionizing radiation to humans pursuant to 20.3.20 NMAC. 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 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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 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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 certificationApplication form for renewal of installer certificationApplication form for first time Junior Installer certificationTester qualifications submittal formOperator Training Review Application and Matrix, Aquatics Operating Permit ApplicationConstruction Permit Application FormVariance Application FormVariance Indemnification / Release of Liability FormEmergency Action Plan TemplateDaily Opening ChecklistPool Daily Log sheet ExampleInspection FormInspection FormCheat Sheet, License Renewal Application form for Medical Imaging or Radiation TherapyInitialLicensure for Medical Imaging or Radiation Therapy Application formDuplicate or Replacement Certificate of Licensure Application formProvisional License Application formTemporary Licensure for Medical Imaging or Radiation Therapy Application formRequest for Written Verification Application formLegal Name Change Application form, Particle Accelerator Facility Registration, Amendment or Renewal formParticle Accelerator Registration GuideRegistration to Operate Radiation Machine formInstructions for Applying to use Radiation MachinesMedical Diagnostic or Industrial Radiation Machine Facility Application Form Required for Change of Control or Change of Ownership or both (including name change), Radiation Safety Officer PreceptorAuthorized 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 FormGeneral License Application Small Uranium Thorium water filtration systemsGeneral License Registration Form Device AttachmentGeneral License Registration FormRCB Form 014RCB Form 016, Vendor Application GuidanceRadiological Services Application, Instruction Reciprocity RecognitionReciprocity 3-day Notification FormOut of State Radiation Machine 2 day 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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