Individuals seeking certification from the Department of Health based upon accreditation by the United States Environmental Protection Agency, or a United States Environmental Protection Agency-approved state or Indian Tribal program may submit the following original documents for review by the department:

1. (1) The original, valid lead-based paint activities certification (or equivalent) from the United States Environmental Protection Agency, or a United States Environmental Protection Agency-approved state or Indian Tribal program in the prescribed discipline;
2. (2) The original training course certificate in the prescribed discipline issued by a training provider who at the time the training certificate in question was issued was a United States Environmental Protection Agency or a United States Environmental Protection Agency-approved state or Indian Tribal program-authorized training provider;
3. (3) The original certification of a passing score on the applicable certification exam for the particular discipline, if any;
4. (4) A signed affidavit by the applicant that he or she meets all the requirements established in this part for the particular discipline for which application is being made; and
5. (5) A completed application accompanied with the appropriate fee.