Methamphetamine-Affected Properties
Training Provider Application

Who Must Apply
All firms who wish to offer training courses for the assessment, decontamination or sampling of methamphetamine-affected properties in the state of Colorado. Department approval is required under 6 CCR 1014-3, Part 2. Approval is valid for three (3) years.
Please indicate if this is an application for renewal.
Part I - Company Information
Do you wish to be included on the department's on-line list of certified training providers? *
Part II - Course Types
**Note: We accept payment by Check or Money Order only.

Type(s) of Course(s) Approval Requested (check all that apply)
Consultant (basic and refresher)
Decontamination Worker (basic and refresher)
Decontamination Supervisor (basic and refresher)
Ventilation Contractor
PART III - Required Attachments for Each Course
Attach the following for each type of course indicated in Part II:
1. Fee specified in Part II above, for each course.
2. A course syllabus addressing the curricula for each course as set forth in Appendix A or B of 6 CCR 1014-3.
3. Course materials appropriate to the syllabus.
4. The name and contact information of each Qualified Instructor who will teach each course.
5. Documentation of the qualifications of each Qualified Instructor who will teach each course.

I certify that this company will only use Qualified Instructors that have been approved by the Colorado Department of Public Health and Environment for each course they teach. I certify that all statements made in this applicaiton are, to the best of my knowledge, correct and complete. (Note: Providing false statements in this application or providing fraudulent identificaiton constitutes second degree perjury as defined by 18-8-503, C.R.S.)