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DOL Form 5000-1

View MSHA's Form 5000-1 Online 

Agency:	MSHA
Title:	Certificate of Electrical/Noise Training
Form Description:	All instructors are required to submit to submit to MSHA the names of persons who have satisfactorily completed required electrical training. MSHA uses the form information to issue certification cards to those persons who are qualified.
OMB Control Number:	1219-0001

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