"Toxics Use Reduction Planner Continuing Education Credit Pre-approval Form" - Massachusetts

Toxics Use Reduction Planner Continuing Education Credit Pre-approval Form is a legal document that was released by the Massachusetts Department of Environmental Protection - a government authority operating within Massachusetts.

Form Details:

  • Released on February 1, 2008;
  • The latest edition currently provided by the Massachusetts Department of Environmental Protection;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Environmental Protection.

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Download "Toxics Use Reduction Planner Continuing Education Credit Pre-approval Form" - Massachusetts

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Massachusetts Department of Environmental Protection
Bureau of Waste Prevention – Toxics Use Reduction Program
Toxics Use Reduction Planner
Transmittal Number
Continuing Education Credit Pre-Approval Form
Any applicant may receive prior written continuing education credit from MassDEP for any course,
seminar, etc. by completing this form and submitting it (faxing is preferred) to the phone number
shown on the form.
Instructions:
1. Applicant Information
This form should
be completed by
any applicant
Last Name
First Name
Middle Initial
seeking prior
approval of
continuing
Street Address or Box Number
Education credit
for any activity
the applicant has
City
State
Zip Code
taken, or plans to
take (i.e., prior to
Home Telephone Number
Work Telephone Number
Fax
submitting a
completed TUR
2. Documentation
Planner
Recertification
For a course, seminar, etc. already attended or planned, for which a credit determination is requested, please
Application). A
attach documentation to this form that will provide MassDEP with a description of the activity, verification of
separate form
attendance (for activity already attended), and the hours the applicant spent or plans to spend in attendance at
and supporting
documentation
the activity. In addition, please provide the following information:
should be
submitted for
each activity.
Activity Name and Sponsor
Hours in Attendance (or planned)
Once the form
and supporting
Date(s) of Activity
Credits Requested
documentation
are received,
Category (see instructions):
TUR activities
MassDEP will
Laws and regulations (4 credit limit)
make a credit
Professional activities (8 credit limit)
determination
and will notify the
Environmental Management Systems
applicant.
Resource Conservation Planning
Mail or Fax Form
to:
Description
Department of
Environmental
Protection,
Toxics Use
3. Final Approval for Planned Activities
Reduction
Planner
Certification
Any credit determination made by MassDEP in response to this form for activities NOT YET ATTENDED BY
Program,
THE APPLICANT are subject to verification of hours in attendance, which must be provided either prior to, or
One Winter
with, the applicant’s Toxics Use Reduction Planner Recertification Application.
Street, Boston,
MA 02108
MassDEP USE ONLY - PREAPPROVAL/CREDIT DETERMINATION
Fax:
617-292- 5858
The continuing education activity described in Section 2 of this form has been:
APPROVED for
credits toward Planner Recertification.
DISAPPROVED for Recertification credit.
Comments, Date, Signature:
turpcepa rev. 2/08
Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Waste Prevention – Toxics Use Reduction Program
Toxics Use Reduction Planner
Transmittal Number
Continuing Education Credit Pre-Approval Form
Any applicant may receive prior written continuing education credit from MassDEP for any course,
seminar, etc. by completing this form and submitting it (faxing is preferred) to the phone number
shown on the form.
Instructions:
1. Applicant Information
This form should
be completed by
any applicant
Last Name
First Name
Middle Initial
seeking prior
approval of
continuing
Street Address or Box Number
Education credit
for any activity
the applicant has
City
State
Zip Code
taken, or plans to
take (i.e., prior to
Home Telephone Number
Work Telephone Number
Fax
submitting a
completed TUR
2. Documentation
Planner
Recertification
For a course, seminar, etc. already attended or planned, for which a credit determination is requested, please
Application). A
attach documentation to this form that will provide MassDEP with a description of the activity, verification of
separate form
attendance (for activity already attended), and the hours the applicant spent or plans to spend in attendance at
and supporting
documentation
the activity. In addition, please provide the following information:
should be
submitted for
each activity.
Activity Name and Sponsor
Hours in Attendance (or planned)
Once the form
and supporting
Date(s) of Activity
Credits Requested
documentation
are received,
Category (see instructions):
TUR activities
MassDEP will
Laws and regulations (4 credit limit)
make a credit
Professional activities (8 credit limit)
determination
and will notify the
Environmental Management Systems
applicant.
Resource Conservation Planning
Mail or Fax Form
to:
Description
Department of
Environmental
Protection,
Toxics Use
3. Final Approval for Planned Activities
Reduction
Planner
Certification
Any credit determination made by MassDEP in response to this form for activities NOT YET ATTENDED BY
Program,
THE APPLICANT are subject to verification of hours in attendance, which must be provided either prior to, or
One Winter
with, the applicant’s Toxics Use Reduction Planner Recertification Application.
Street, Boston,
MA 02108
MassDEP USE ONLY - PREAPPROVAL/CREDIT DETERMINATION
Fax:
617-292- 5858
The continuing education activity described in Section 2 of this form has been:
APPROVED for
credits toward Planner Recertification.
DISAPPROVED for Recertification credit.
Comments, Date, Signature:
turpcepa rev. 2/08
Page 1 of 1