KeyBridge Pro — New Assessor Profile Setup

KeyBridge Pro — New Assessor Profile Setup

Complete your one-time assessor profile setup. This information is stored securely and used on every report. You will never need to submit this again.
Section 1: Personal Information
Full Legal Name

First NameLast Name
ODH License Number
Enter your ODH License number without spaces (ex: LA1234)
License Expiration Date

MonthDayYear
Date
Preferred Report Delivery Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Section 2: Company Information
Company Name
Company Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Company Phone
Please enter a valid phone number.Format: (000) 000-0000.
Company Email
example@example.com
Section 3: XRF Equipment
XRF Manufacturer
XRF Model Number
XRF Serial Number
Date of Radioactive Source

MonthDayYear
Date
XRF Mode of Operation
Section 4: Training & Certification
Have you completed XRF operator training?
XRF Operator Certification (if applicable)

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ODH Lead Risk Assessor License Copy

PDF or clear photo — must show your license number and expiration date
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Calibration Certificate

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Performance Characteristics Sheet

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Section 5 : Agreement & Acknowledgment

By submitting this form, you confirm you have read and agree to KeyBridge Pro's Terms of Service and Privacy Policy at keybridgepro.com and that you are a licensed Ohio Lead Risk Assessor responsible for the accuracy of all field data submitted.
Please review our Terms of Service and Privacy Policy before submitting.
Terms of Service & Privacy Policy
Today's Date

MonthDayYear
Company Logo

PNG with transparent background preferred. Used on your report cover page. Leave blank if you are a sole practitioner.
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Should be Empty:

KeyBridge Pro — New Assessor Profile Setup

Section 1: Personal Information

Section 2: Company Information

Section 3: XRF Equipment

Section 4: Training & Certification

Section 5 : Agreement & Acknowledgment