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)


2018 Annual Dues 
(Active Members)

Late Fee

Made After 12/31/2017

2018 Annual Dues  

(Retired Members)

CHSP $125.00

CHSP $25.00

CHSP $45.00

CHCM$125.00

CHCM $25.00

CHCM $45.00

CHEP $125.00

CHEP $25.00

CHEP $45.00

CPSM $125.00

CPSM $25.00

CPSM $45.00

CPSO $125.00

CPSO $25.00

CPSO $45.00

CEDP $125.00

CEDP $25.00

CEDP $45.00

CHSN $125.00

CHSN $25.00

CHSN $45.00

CHS-LTC $125.00

CHS-LTC $25.00

CHS-LTC $45.00

CHS-EVS $125.00 

CHS-EVS $25.00

CHS-EVS $45.00

CHSP-FSM $75.00

CHSP-FSM $25.00

CHSP-FSM $45.00

CHEP-FSM $75.00 CHEP-FSM $25.00 CHEP-FSM $45.00

(PLEASE NOTE): Back Dues amount below is per certification

 

        Certification(s)

2015-2016-2017 Back Dues $450.00

2016-2017 Back Dues $300.00     

2017 Back Dues $150.00              

Total Amount Of Back Dues

       


Recertification Fee

5 Year Re-Certification Fee: $85.00

 

Application/Exam Fees

Application Fee: $130.00

Exam Fee: $200.00

 

International Application Fee: $150.00

International Exam Fee: $200.00

 

Other Fees

Hand Stamp: $80.00

Pocket Seal: $95.00

Wallet Card Replacement: $20.00

Wall Certificate Replacement: $35.00

Replacement Fee Exam Book: $10.00


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