Segment 1 or 2 Certificate Replacement
Please provide as much information as possible to ensure we can process your request quickly. Please make sure that your email is correct, as we will be emailing you a copy of the Certificate. You can then print it and keep a copy for your files. This copy will be considered a legal copy for all uses. There is a $20 fee for either the Segment 1 or Segment 2 Certificate. In the unlikely event you need both you will have to fill out this form twice. We tell our Students to put their certificates with their important papers , Birth Certificates, Social Security Cards etc, so look there first.
Which Certificate do you need
*
Segment 1
Segment 2
Location where you were enrolled
Birch Run
Caro
Midland
Saginaw
Other
Students Name
*
First Name
Last Name
What was the Month of the class?
Email to send Receipt Notification and Certificate
*
Confirmation Email
example@example.com
# to text If we can not find you.
Communication
*
By clicking here you give us permission to Email or Text you regarding your request.
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Certificate Replacement
A printable copy of your Certificate will be emailed to you Print, and save the file for future use.
$
20.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: