Form MSHA Form 5000-1 MSHA Form 5000-1 Certificate of Electrical Training
Certificate of Electrical Training and Applications for MSHA Approved Tests and State Tests Administered as Part of an MSHA-approved State Program
5000-1
Certificate of Electrical Training (instructors and contractors)
OMB: 1219-0001
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1219-0001 can be found here:
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