Dormancy Request

Dormancy Request
Dormancy of an ABC Certification may be requested for a life changing event that prevents a certificant from maintaining certification. Please note the following rules surrounding dormancy:
- Dormancy may be requested one time per life changing event and may be taken in one-, two-, or three-year increments. Extensions may be filed but shall not exceed three years total time. Each year of dormancy will extend your certification expiration date by one year.
- You may choose to claim points earned during the year of the life changing event. If you wish to claim points, your dormancy will not begin until January 1 of the next year. You must still file recertification paperwork by the applicable deadlines to have your points counted.
- During dormancy, a certificant must continue to annually submit the maintenance fee and signed Rules of Professional Conduct (09-0001F). Failure to submit both by March 1 of each year during dormancy may result in late fees.
- To have your certification reactivated you must request reactivation within 60 days or your return to work. You will work with the Registrar to finalize your new certification expiration date however similar rules will apply to your return to work regarding claiming points.
Name*

First NameLast Name
Certificant Number*
Preferred Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Email*
example@example.com
Date of Life Changing Event*

MonthDayYear
Date
You can choose to claim points for this current year or not. If you choose to claim points for this current year, your dormancy will begin January 1 of next year. If you do not choose to claim points for this year, your dormancy will begin January 1 of this year. Will you be claiming points this year?*

YesNo
Length of Request*

1 year2 years3 years
Description of Life Changing Event*
Is the certificant in good standing?

YesNo
Original certificate expiration date

MonthDayYear
Date
Comments
Registrar Approval

ApprovedDenied
Date

MonthDayYear
Date
Comments
Date of Dormancy Expiration

MonthDayYear
Date
Should be Empty: