Clone of CEDIA RNS Renewal Application

CEDIA Certification Appeals Form
CEDIA Certification Applicants, Candidates and Certification Holders may submit an appeal to reconsider a decision regarding their certification in one of the following categories:
1. Eligibility
2. Renewal
3. Exam Administration
4. Disciplinary Action
These appeals are handled according to the publically avaible Cert-305 Appeals and Cert-315 Complaints & Disciplinary Action policies. Keep in mind that appeals must be submitted within 30 days of receipts of the decision being appealed.
I. Contact Information
Full Name

First NameLast Name
E-mail :
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Company
City
State/Province
Country
II. Appeal Information Needed
Which type of Appeal are you submitting?
Eligibility Appeals:

State the reasons why you are eligible for certification and how they comply with the published requirements (i.e. prior certification, years of experience, references).

Renewal Appeals:

State the reasons why the CEUs or other elements you submitted shoudl be accepted according to the published requirments. (i.e. relevance or length of course or activity, evidence of completion, etc.)

Exam Adminsitration Appeals:

Please explain how irregular testing conditions or a violation of Commission policies (i.e. unfair execution of exam) affected your ability to pass the exam.

Disciplinary Appeals:

State the reasons why the disciplinary action received should be reconsidered. (i.e. a material error of fact or a failure of the Ethics Review Task Force to conform to criteria, policies or procedures.
Use this box to provide information the above information based on which type of appeal you are submitting.
Attach additional information as needed:

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IV. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing form.
E-Signature:
Please contact certification@cedia.org if you have any questions about the appeals process.
Should be Empty:

CEDIA Certification Appeals Form

I. Contact Information

II. Appeal Information Needed

IV. Applicant's E-Signature