5000-46 Request for Individual Identification Number (MIIN)

Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1219-0143 can be found here:

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File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Jacobson, Kerbi - MSHA
File Modified	0000-00-00
File Created	2021-01-14