Lost Certification Form

Lost Your Certificate? Get it Replaced

Complete this form to start the process.  NOTE: There is a $50 reprint fee, payable via credit card or paypal.

"*" indicates required fields

This fee will cover replacements for ALL certifications you ever earned
Name*
Address*
Date of Birth*
Which certificates did you lose?*
Please estimate if the exact year is unknown
Please provide (1) Certification Number, located on the bottom-right of your Certification
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
  

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