Re-Certification Form

Please complete this Re-certification Summary Report of your experience and educational activity for the five (5) year period from either your membership date or your last 5-year re-certification date. The Board requires at least 10 hours of continuing education annually or 50 hours for each five year period to meet re-certification requirements. This report must be submitted to the Board no later than June 30 (current year) along with the $85.00 Fee.  Re-certification is a standard requirement for most certification programs and provides credibility to the program.  The Board developed a re-certification program that is practical and not difficult to attain.  If you have a problem in meeting the re-certification requirements, please contact us. Complete the form below but DO NOT submit any documentation unless requested by the board. The Board may conduct random verification of information submitted. 


(Re-certification Procedures: DOWNLOAD )