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.