Completing a RCIA Permit Application Request

To acquire a RCIA Permit, you must first pass the Minimum Qualifications .

    The Applicant Information section on the form should show the name of the entity requesting the permit and the mailing address for the entity.

  1. Fill in the Proposed RCIA Sign Location Information fields.

    All required fields are denoted with a red asterisk (*)

  2. Fill in the Service Area Information.

    All required fields are denoted with a red asterisk (*)

  3. Indicate how you will submit your attachments in the Attachment Information section.

    If the files are primarily electronic and you have them, then indicate that you will attach them; otherwise, indicate that you will mail them.

  4. Select the Submit button to request the permit.

    -OR-

    Select the Cancel button to exit to the main menu without saving your information.

    -OR-

    Select the Reset button to erase your information and start again.


Last modified date: 08/28/2002