Extension Request Form
In response to the recent surge of COVID-19 cases, AMT will honor extension requests from individuals whose current application or certification is set to expire on any date in either November or December 2020 or in January 2021 by extending the end date to March 1, 2021. (Some limits may apply.) Submit your extension request by completing this form. Please allow up to 4-5 business days for your request to be processed.
AMT ID number
I am a:
Applicant Extension Verification (both boxes must be checked for extension request to proceed)
I have contacted Pearson VUE to verify that I do not have an exam scheduled and if scheduled, I have canceled my scheduled exam.
By clicking this box below, I am agreeing to electronically sign this document and attest to this information being correct.
Certified Member Extension (both boxes must be checked for extension request to proceed)
I understand that by extending my certification, March 1st will signify the annual date in which my yearly renewal fees and CCP points will be due going forward.
By clicking this box below, I am agreeing to electronically sign this document and attest to this information being correct
Should be Empty: