Get Certification Card Replacement Form

Filling out the Certification Card Replacement Form online is a straightforward process designed to help users efficiently obtain a replacement card. This guide will provide clear instructions for each section of the form, ensuring a seamless experience as you submit your request.

Follow the steps to complete your form accurately

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your current name. If your name has legally changed since your original certification, provide documentation of the change.
3. Indicate your course level, selecting from options such as Scuba, Advanced, or Master.
4. Fill in the instructor’s name as it appears in your records, and include their NAUI number.
5. Provide the course date by entering the month and year during which you completed the course.
6. Complete the section for the facility name, if applicable, which will be typed onto your card.
7. Enter your Personal Identification Number (PIN), registration number, or Social Security number in the designated field.
8. Specify your age at the time of certification.
9. Detail your payment method. If using a check or money order, provide the number. For credit card payments, enter the card type, number, expiration date, cardholder name, and signature.
10. If you need a replacement card or additional services, indicate the quantity and check the relevant boxes. Note any additional fees for expedited services.
11. Fill in your shipping details by providing an attention name, daytime phone number, mailing address, city, state, zip code, and country.
12. Sign the affidavit confirming your eligibility for a replacement card and that you have lost the original. Ensure that a parent or guardian signs if you are under 18.
13. Review all information for accuracy before finalizing. Save changes, download, print, or share the form as needed.

Complete your Certification Card Replacement Form online today for a hassle-free experience.