Radon Licensing Program - RADON User Account Request
The below information is required to obtain secure access to RADMAT/RADON System. By submitting this request, you swear or affirm that you are authorized to perform business processes related to the ODH licensed professional below.
Basic Information
First Name:
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Last Name:
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Title:
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E-Mail Address:
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Secondary Contact Name:
State OH|ID User ID:
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If you do not have an account, you must create your OH|ID account at:
https://ohid.ohio.gov/
Reason for request (at least one reason is required):
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New Account
Technical Issue
Technical Issue Description:
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License Information: (at least one selection required):
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(To enter multiple Radon Licenses separate them by comma ",". e.g. RT000,RT999,RT788)
Radon Tester
ODH License Number:
License Name/Entity:
Radon Specialist
ODH License Number:
Licensee Last Name:
Radon Contractor
ODH License Number:
License Name/Entity:
Click to confirm Affirmation
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I swear or affirm that the information provided herein, and any attachments hereto, have been prepared or carefully reviewed by me and constitute a truthful and correct disclosure of all information herein. I certify that the undersigned is the operator (if the operator is an individual), the president or other officer (if the operator is a corporation), a partner (if the operator is a partner), or an authorized agent of the operator.
ODH CONTACT INFORMATION
If you have a question regarding use of this form e-mail us at radon@odh.ohio.gov.
* = Required field