CertTEC Work Verification Form for Recertification

To request recertification, please complete and submit this form to CertTEC.
Section A should be completed by the person requestingrecertification.
Section B should be completed by the person validating work verification
(i.e., Supervisor, Manager, or Human ResourcesRepresentative).
Information on how to submit form and payment is located in Section C.

**All fields must be completed for Recertification request to be processed**

The following section to be completed by person providing work verification
(Supervisor, Manager, or Human Resource Representative)

Cost:
$10 for electronic version of certificate sent by email
$25 for hard copy of certificate and/or ID card sent by mail

Completed form and check payment can be submitted to:
SpaceTEC Partners, Inc.
379 Cheney Hwy.
PMB 207
Titusville, FL.32780

If paying through PayPal: Scan and email form to info@certtec.com
PayPal payments can be made at:
https://spacetec.us/certtec-recertification-payment-form

Any questions, please contact CertTEC staff at (321) 567-5193