Section DHS 159.24 - Application requirements for contingent accreditationSeparate application is required for each course for which accreditation is requested. Application for original accreditation of a training course, or for accreditation of a course for which accreditation has been expired for 12 months or longer, shall be submitted to the department on an application form obtained from the department and shall include all of the following application materials:
(1) APPLICATION FORM. The fully and accurately completed department application form signed and dated by the applicant.(2) FEES. The accreditation fees required under s. DHS 159.26(1) for the training course discipline.(3) PREVIOUS ACCREDITATION CERTIFICATES. Documentation of training course accreditation if the training course has been previously accredited by the EPA or by a state.(4) ASBESTOS COMPANY APPLICATION. An application for certification as an asbestos company under subch. III if the applicant is not already certified as an asbestos company.(5) COURSE DESCRIPTION AND MATERIALS. The complete course description, information and materials, as follows: (a)Training resources. A written description of the training resources that will be provided for the course, including a description of all of the following: 1. The classroom space and set-up for lecture and hands-on training and training sites for field trips.2. Training supplies and equipment for demonstration and hands-on activities.3. Audiovisual equipment, computer software and any other classroom technology.(b)Principal instructor. The name of at least one department-approved principal instructor who will teach the course, or an application for principal instructor approval under subch. V.(c)Record keeping. A written description of record keeping administered under s. DHS 159.19(7) (b) that includes all the following: 1. The types of records kept and for what lengths of time.2. The complete street address for the location where records will be kept.3. The normal business days and hours at the location. (d)Student admissions plan. A written description of the student admissions plan that meets the requirements under s. DHS 159.22(7).(e)Course curriculum. Course curriculum materials provided to the department that include all of the following:1. `Course agenda'. A course agenda that meets the requirements under s. DHS 159.22(10).2. `Instructor manual'. An instructor manual for the course that meets the requirements under s. DHS 159.22(14).3. `Student manual'. The student course manual required under s. DHS 159.22(15), also including copies of regulations, handouts and any other written materials provided to students.4. `Topic analysis worksheet'. A completed topic analysis worksheet, obtained from the department, for the course as required under ss. DHS 159.29 to 159.35 on which the applicant has entered the page locations in the course manuals and other written materials of each required topic.(f)Course test information. The course test as required under s. DHS 159.22(16), the answer key, and a course test blueprint that clearly shows how the course test was developed to reflect course content and student learning goals and objectives.(g)Evaluation form. A course and instructor evaluation form as required under s. DHS 159.22(5).(h)Training certificate. A sample of the training certificate required under s. DHS 159.22(17) for the course that is printed on the same paper and in the same color as the actual certificate that the training provider issues to students who successfully complete all training course requirements.(i)Non-English courses. If accreditation is being requested for an exterior asbestos worker, asbestos worker initial, or asbestos worker refresher course in a language other than English, all course materials for students and instructors shall be provided in the language and in English translation. These materials include the course agenda, instructor manual, student manual and any other handouts, course test and evaluation form.(6) INDEX OF SUBMITTED INFORMATION. A written index of all information and materials submitted with the application for accreditation under subs. (1) through (5). Wis. Admin. Code Department of Health Services DHS 159.24
CR 08-036: cr. Register February 2009 No. 638, eff. 5-1-09. Application forms are available on the department's website at www.dhs.wi.gov/asbestos or may be obtained from the Asbestos and Lead Unit: plicasbstoslead@dhs.state.wi.us; 608-261-6876; 1 W. Wilson St, Room 137, PO Box 2659, Madison, WI 53701-2659.
Submit application and fee to Asbestos and Lead Unit: 1 W. Wilson St, Room 137, PO Box 2659, Madison, WI 53701-2659; (fax) 608-266-9711; plicasbestoslead@dhs.state.wi.us. For application submitted by fax or email payment may be made only by credit or debit charge to a VISA or MasterCard.