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Please use the following checklist to ensure that your application is complete:

•   Completed and signed application
•   Application Fee ($175 for new CDs and $125 for recertifying CDs)
•   Meets current credential or licensure requirement: (check one)
  •   State licensure in medicine, nursing, or audiology; or
  •   ABA, CCC-A, CIH, INCE/Brd Cert, or CSP; or
  •   Member of AIHA or ASSE
•   Includes hard copy of current US State license/registration
  (must be faxed, mailed or e-mailed to the CAOHC offices)
  or
  Online Verification Option: (must include the following information)
  
  1. Licensure/Certification Board website address:  ________________________________
  2. License/Certification number(s):  ________________________________
•   Submit a copy of current certification ID card or certificate to one of the following:
  Please specify which affiliation: (must check at least one)
  
  •   American Board of Audiology (ABA)
  •   American Board of Industrial Hygiene (CIH)
  •   American Board of Occupational Health Nurses (COHN)
  •   American Board of Otolaryngology
  •   American Board of Preventive Medicine (In Occupational Medicine)
  •   American Speech-Language-Hearing Association (CCC-A)
  •   Board of Certified Safety Professionals (CSP)
  •   Institute of Noise Control Engineering (INCE)
  •   Or, equivalent (identify)  ________________________________
•   Submit upcoming Course Director Workshop application and fee online at: https://ssl17.pair.com/caohc/forms/workshopregform.php or contact the CAOHC office for a hard copy.

New Certification Applicants Only

•   Job Description(s)
•   Verification letter from Supervisor or Colleague
•   Meets experience requirement? (check one)
  •   Documentation of minimum one year experience and 1000 hours devoted to
    occupational hearing conservation within the past five-year period;
  •   Participation as faculty in 4 separate CAOHC-approved courses and a minimum of 1000
    hours devoted to occupational hearing conservation within the past five years.