Asbestos Application for Determination Degree Equivalence Application

              3017 N. STILES, OKLAHOMA CITY, OKLAHOMA 73105 ∙ www.labor.ok.gov ∙ PHONE: (405)521-6464 ∙ FAX (405) 521-6016
Revised 01/09/2012 Toll Free Number (888) 269-5353 Page 1
Oklahoma Department of Labor
Mark Costello
COMMISSIONER
ASBESTOS APPLICATION FOR
DETERMINATION OF DEGREE EQUIVALENCE
This application must accompany a Management Planner or Project Designer application
Section 380:50-5-11(2) of the Abatement of Friable Asbestos Materials Rules states:
AHERA Management Planners shall be licensed as a special category of Asbestos Contractor, shall have a bachelor’s degree in a technical subject, or equivalent, and, in addition to the AHERA inspector training outlined in Section 380:50-6-4 and 380:50-6-9, shall have completed a 16-hour course for AHERA Asbestos Management Planners which fully meets the requirements of Section 380:50-6-5 and 6-10.
Section 380:50-5-12(2) of the Abatement of Friable Asbestos Materials Rules states:
AHERA Project Designers shall have met all requirements for accreditation for Asbestos Abatement Contractor or Project Designer, and in addition, shall have a bachelor’s or advanced degree in architecture, engineering, or industrial hygiene, or an equivalent combination of education, training, and experience as determined by the Commissioner.
The criteria to be used for determining degree equivalency are as follows:
1. Up to 60 credit hours of general higher education may be counted towards degree equivalence, on a one-to-one basis. Beyond 60 credit hours, higher education must be in the fields of engineering, architecture, or industrial hygiene. Continuing education units courses and professional/technical training courses and seminars may be counted at a rate of 15 actual classroom hours equals one hour of higher education credit.
2. In lieu of a bachelor’s or advanced degree in architecture, engineering, or industrial hygiene, the applicant may substitute two years practical experience in the fields of non-residential building construction, industrial insulation, asbestos project designer, asbestos management planning, or asbestos abatement. Such practical experience shall be at the supervisory, inspection, or management level. Work at the laborer level shall not be counted. Any such substituted experience shall include a minimum of four years actual asbestos experience.
3. In case the applicant is substituting eight years experience for four years of higher education, the applicant must have a high school diploma or GED certificate. (Please submit an official high school transcript or a duplicate GED certificate.)
1. Applicant’s Name
2. Home Address
3. City
4. State
5. Zip
6. Social Security Number
7. Date of Birth
8. Phone FOR OFFICE USE ONLY
Date
DEO
Receipt No.
License No.
Asbestos Admin Approval/Date Type of Payment
1 2 3
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Endorser 3017 N. STILES, OKLAHOMA CITY, OKLAHOMA 73105 ∙ www.labor.ok.gov ∙ PHONE: (405)521-6464 ∙ FAX (405) 521-6016
Revised 01/09/2012 Toll Free Number (888) 269-5353 Page 2
Employment History
List below your work history beginning with your most recent job, emphasizing your specific tasks as related to the above requirements. If you have more than three separate previous employments, please sign and attach additional sheets in the same format as below: Employer:
Employers Address:
City:
State:
Zip:
Title/Position:
Dates employed from/to:
Exact Duties: Employer:
Employers Address:
City:
State:
Zip:
Title/Position:
Dates employed from/to:
Exact Duties: Employer:
Employers Address:
City:
State:
Zip:
Title/Position:
Dates employed from/to:
Exact Duties:
I hereby authorize the educational institutions to release verification of completion of the courses presented in this application.
I further affirm, upon my oath, to follow Title 40 of the Oklahoma Statutes, Section 450 through 456 as amended, and the Abatement of Friable Asbestos Materials Rules OAC 380, Chapter 50. I understand that a violation of any law or rule may subject my license to be suspended or revoked, or may subject me to cease and desist orders, injunctive measures, and criminal penalties for criminal violations.
I, upon my oath, do state that the above information is a true statement, and further state that I am not under any type of disciplinary action, including license revocation or suspension, by any State or political division thereof, or by the United States government, for any illegal or improper activity, civil or criminal, involving asbestos-containing material.
Applicants Signature Date