Certification Renewal Extension Request Form

If you intend to renew but cannot fulfill the application requirements by March 30, complete and submit this form. Please note that the following late fees still apply: applications submitted after March 30 will incur a late fee of $25. After June 30, the late fee increases to $50.

Fill out the form below and press the Send button. (Note all fields are required except Fax and Email Address.)

Please grant me an extension for submitting my renewal application.

*Name
*Organization
*Title
*Address
*City	State Zip
*Phone	Fax
Email Address

*Approximate date I will submit my renewal application:

*required fields

Updated 3-12-11

Building Operator Certification Energy Efficiency Through Operator Training

Certification Renewal Extension Request Form