SECURE PAYMENT FORM


 International Board for Certification of
Safety Managers

  

  (NEW APPLICANT)  

 

  (CERTIFIED CREDENTIAL HOLDER)

   ATTENTION CURRENT MEMBERS! PLEASE INCLUDE NAME AND CERTIFICATION NUMBER(S)


 2020  Annual Dues 
  (Active Members)

Late Fee

Made After 12/31/2019

 2020 Annual Dues 

 (Retired Members)

 CHSP $125.00

$25.00

CHSP $45.00

 CHCM$125.00

CHCM $45.00

 CHEP $125.00

CHEP $45.00

 CPSM $125.00

CPSM $45.00

 CPSO $125.00

CPSO $45.00

 CEDP $125.00

CEDP $45.00

 CHSN $125.00

CHSN $45.00

 CHS-LTC $125.00

CHS-LTC $45.00

 CHS-EVS $125.00 

CHS-EVS $45.00

 CHFSP $125.00

CHFSP $45.00


(PLEASE NOTE): 

PAST DUE MAINTENANCE FEES

 

        List Certification

  2017-2018-2019 Back Dues $375.00 per certification

  2018-2019 Back Dues $250.00  per certification   

  2019 Back Dues $125.00  per certification           

  TOTAL PAST DUE

 

      


 Recertification Fee:

5 Year Re-Certification Fee: $60.00

 

 Application/Exam Fees

Application Fee: $130.00

Exam Fee: $200.00

International Application Fee: $150.00

International Exam Fee: $200.00

TesTrac On-line Exam Fee: $100.00

 

Other Fees:

Hand Stamp: $80.00

Pocket Seal: $95.00

Paper Wallet Card Replacement: $20.00

PDF Wallet Card Replacement: $10.00

Wall Certificate Replacement: $35.00

Replacement Fee Exam Book: $10.00

 

Charles Workman Class Study Guide $75.00

 

Diane M Hughes Class Study Guide $75.00

 

Safety Alliance CEDP Study Guide  $65.00

 


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