Credentials Request

Contact Information Certificate Holder

This is the person for whom you are requesting the certificate.
Legal Name (as it appears on the certificate)

First NameLast Name
Email of certificate holder

Confirmation EmailWe will send a copy of the certificate to this email.
Phone Number
Please enter a valid phone number in case we need to talk to you about yuor request.Format: (000) 000-0000.

Certificate Information
Which organization did you take the course with?
Please enter the organization's name (company, school etc.).
Store ID
Store number or identifier.
Exam Date (as close as you can remember)

Year MonthDay
If you know the date you took the exam please enter it here.
Certificate ID
If you have the certificate ID please enter it here.
Are you requesting a certificate for a course taken at Walmart?
Please enter your WIN code
Only required for Walmart employees.
How did you take your course?

Other
What was the Trainer's name?

First NameLast Name
Who proctored your exam?

First NameLast Name

Security Question

The security question helps us verify the certificate holder's identity.
If this is a replacement certificate you should have chosen a security question when the original certificate was created. Below is a list of the questions you would have chosen from.
- What is your mother's maiden name?
- What is the name of the first school you attended?
- What is the first name of your mother's father?
- What was the make of your first car?
Based on this list enter the answer to your Security Question below.

Note: If you took your course with a trainer and completed a paper exam please enter the year and month of your birth. This is ONLY for people who wrote a paper exam.
Choose a Security Question
What is the answer to your security question?
Please enter what you chose during your Managing Food Safety exam.
Should be Empty:

Requestor Information