Attachment__2A_MQSA_Nomination_Form.pdf

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MQSA Inspection Program
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FDA-15-MQSA
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MQSA Nomination Form

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MQSA Inspector Trainee Nomination Form Education/Experience Requirements for New MQSA Inspectors- Any new student nominated to take the MQSA training courses to become a certified MQSA inspector must have one of the following minimum education/experience requirements. Please identify which criteria the nominee fulfills for consideration:

This form must be submitted to the FDA Regional Radiological Health Representative (RRHR) for review and evaluation. Failure to forward the completed from by the requested date may result in the nomination not being reviewed.

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