Methamphetamine-Affected Properties
Individual Application for Certification

Who Must Apply
All persons who are performing assessment, decontamination or sampling of methamphetamine-affected properties in the State of Colorado, in accordance with 6 CCR 1014-3. Certification is required under 6 CCR 1014-3, Part 2. Certificaiton is valid for 2 years.
Please indicate if this is an application for renewal or retest.
Part I - Personal Information

Applicant Address

Employer Address

"ID Type" must be a photo ID issued by a governmental agency, such as a drivers license, passport or state ID. You must bring this ID to the testing site for verification of your identity. 
Do you wish to be included on the department's on-line list of certified individuals? *
Part II - Type of Authorization Requested (check all that apply)
**Note: We accept payment by Check or Money Order only.
Are you applying for a retest? *
Authorization / Renewal Type
Decontamination Worker
Decontamination Supervisor (includes Worker)
Ventilation Contractor
Retest Type (After Failed Test)
Decontamination Worker
Decontamination Supervisor
Ventilation Contractor
Note: Providing false statements in this application or providing fraudulent identification constitutes second degree perjury as defined by 18-8-503, C.R.S.