CDFPC CERTIFICATION RENEWAL REQUEST

Please complete the following fields and attach a copy of your completed journals and reports. You must have a separate submission for each certificate.

Reminder this form should be used for certificates expiring in the next 90 days.

Contact HCTC staff if you need help during this process.












IMPORTANT: For Instructor I renewal please include a High Plains and ER report of your instructor hours. 12 hours annually are required.






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