Replacement Certificate

Complete the form below to request a replacement copy of your CE completion certificate.

Certificate Details

License Number *

Last 4 of Social Security Number *

Used to verify your identity. Not stored after processing.

Name of CE Class *

Attended Date(s) *

Contact Information

Full Name *

Enter your name exactly as it appeared on the original certificate.

Email Address *

Your confirmation and certificate will be sent to this address.

Phone Number *

Payment Details

Order Summary

Replacement Certificate for CE Classes

$25.00

Subtotal$25.00

Processing Fee$1.06

Total$26.06

Your certificate will be issued after your request is reviewed. You will be contacted at the email provided if any information needs to be verified.