FORMS

If you're an R.T. and don't find what you are looking for on this page, log in to your account for additional options. You can complete a range requests online once you have signed in. Questions? Call us at 651.687.0048.

GENERAL 

Address change form (Use this form only if you don't have an ARRT online account.)

ARRT online account access form (For non-R.T.s who hold a credential from NMTCB or ARDMS and are interested in pursuing an ARRT credential)

CE biennium change request (Change the years of your CE biennium)

Eligibility appeal request

Name change form

Request discontinuation of certification and registration

Duplicate Records Requests

Duplicate certificate

Duplicate examination results packet (includes a certificate and exam score report)

Duplicate examination score report

Release Forms

Authorization, waiver, and release to legal counsel

Verification Requests

Authorization for Release of Information: Use this form if a third party (e.g. an employer) wants information on your ARRT history, such as previous disciplinary actions. Do not use this form to request verification of your certification and registration.

Letter of certification and registration (You'll be prompted to log into your account first. Alternatively, use our Verify Credentials database.)

Verification of education

ETHICS 

Ethics review preapplication

Ethics violation report form (Use this form to report potential ethics violations.)

Waivers

Authorization, waiver, and release to legal counsel

Ethics appeal waiver

Ethics hearing waiver

MAILING LIST RENTAL

Mailing list agreement

Researcher mailing list agreement

VOLUNTEER

Volunteer activity preference form

Volunteer biodata form