Get Tobacco Treatment Specialist Certification Application For Re-testing

This guide will assist you in completing the Tobacco Treatment Specialist Certification Application For Re-testing online. It provides detailed, step-by-step instructions to help ensure your application is filled out correctly.

Follow the steps to submit your application efficiently.

1. Click ‘Get Form’ button to access the application form and open it for editing.
2. Enter your original course dates in the format Month DD, YYYY to indicate when you completed the certification course.
3. Provide the location where you attended the course, ensuring all relevant details are filled in accurately.
4. Fill in your full name (First, Middle, Last) as it appears on official documents.
5. Input your address, ensuring to include your city, state, ZIP code, and daytime phone number for contact purposes.
6. Provide your email address for communication regarding your application status.
7. Enter the name of your supervisor or proctor, along with their daytime phone number and email address for verification.
8. Select which component(s) of the test you wish to re-take by checking the appropriate boxes for Multiple Choice or Case Study.
9. Be aware that a processing fee of $100.00 will be charged for re-testing any or all components. Please choose your payment preference.
10. Decide on how to complete your payment, either through credit card online or by mailing a check. If mailing, send your application form along with your payment to the specified address.
11. After filling out the form, review all entries for accuracy, then save your changes. You can download, print, or share the form as needed.

Complete your certification application online today!