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Registered Environmental Health Specialists
Applications

If you complete the form online, you must print the form and mail it to the address below.

Fees (if applicable) are payable to the "Licensing & Regulatory Affairs".

Licensing & Regulatory Affairs
Environmental Health Specialists
PO Box 94986
Lincoln, NE 68509-4986

pdf icon Registered/Provisional Environmental Health Specialist
pdf icon Duplicate/Reissue Form
pdf icon Name Change Form
pdf icon Reinstatement

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