Request a Replacement Card

Request a Replacement Credential

* Indicates required field

Student Name *

First

Last

Student Email *

Student Phone Number *

Student Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

When did the student complete the course?

Month *

Year *

Where did the student take the course?

City *

State *

Tell us what happened to your current 10-hour card *

Lost Stolen Damaged Other (Please explain below)

Additional Information *

Please allow between 24-48 hours to review the request. Once your request has been verified an invoice will be sent to the email provided above for the required replacement fee. Your replacement card will not be ordered until the invoice is paid. After the order is placed, please allow between 45-60 days to receive your replacement card. The new card will be sent to the address specified above.

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