Appeals Form

By signing this form, I affirm that the appeal is based on concerns in the decision-making process and/or lack of supporting documentation in the process. To the best of my knowledge, all supporting documentation is true and correct. I have submitted all information and materials that I believe relate to the appeal. I will provide any additional information that may become available to support my appeal or that could impact the appeal in any way. I understand that all information provided may be considered evidence and used by the Certification Board in determining a resolution to the appeal.


I acknowledge that all information is to be treated as confidential, except as required by law.


I have read and understand the process of resolving the complaint as outlined in the Operations Manual.
Click or drag files to this area to upload. You can upload up to 10 files.
Please upload any necessary documents here. Files cannot exceed 2MB in size.
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