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 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 will also receive a postal bill, which you can disregard by paying online here. Please avoid duplicate payment.