2019-2020 Annual Billing Payment Form
This form is used to process your payment and update your contact information on file with NBC-HIS.
If you are recertifying this year, you must also submit proof of licensure with this form, as well as copies of continuing education certificates for CEs earned by 6/30/19 if you have less than 24 CEs on file with NBC-HIS (see your billing statement for your CE status).
Please call 734.522.2900 if you have questions.
You may have also received a postal bill, which you can disregard by paying online here. Please avoid duplicate payment.