Recertification Extension Request

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An extension of the recertification deadline for extenuating circumstances may be granted for up to six months beyond the expiration date.The certificant must submit a recertification extension request electronically using the form below before the certification expires. The request must include a statement of extenuating circumstances, the number of recertification hours completed, the number of work hours completed, and a detailed plan stating how all requirements will be fulfilled by the requested extended deadline.

Recertification Extension Request Form
Fullname

First Name
Last Name
Email
SMRP ID
What SMRPCO certification is this request for?

CMRP
CMRT
You may request to extend your deadline six months beyond the expiration date. Please enter the date you would like SMRPCO to consider for an extension.
Month - Day - Year
Please describe your extenuating circumstances
How many hours toward recertification do you currently have?
Describe your plan for meeting SMRPCO's recertification requirements by your requested extended deadline.
Email
Captcha

Recertification Extension Request

Recertification Extension Request Form