Lost Certification Form

Lost Your Certificate? Get it Replaced

Complete this form to start the process. NOTE: There is a $30 reprint fee, payable via check, money order, or credit card.

C-Tech Certificate Replacement
Price:
Name*
First Middle Last Suffix
Address*
Street Address Address Line 2 City State ZIP Code
Primary Email*
Alternate Email
Phone*
Date of Birth*
Name of School/Facility you trained at*
Instructor's Full Name*
Which certificates did you lose?*
- Telecommunications Technologies
- Network Cabling: Copper
- Network Cabling: Fiber Optics
- Telephone Systems & VoIP
- Audio/Video Entertainment
- Energy Management
- Ground & Bonding: Copper Connectivity Systems
What year did you get your certification?*

Please estimate if the exact year is unknown
Certification Number (if available)

Please provide (1) Certification Number, located on the bottom-right of your Certification
Total
$0.00