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Client taking notes for NCCPT Exam.

FORMS

Exam Forms
Recertification Forms
Board of Directors Forms

INTRODUCTION


Use the forms below to assist in completing and maintaining your certification.

Exam Forms

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Candidate Handbook

Your resource for all credentialing information including exam eligibility; scope of practice; application procedures; exam development and administration; and recertification maintenance.

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Exception/Appeal Request Form

Use this form to request exceptions to the exam eligibility criteria, exam special accommodations, or exam performance inquiries.

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NCCPT Request for Special Accommodation

Use this form to request accommodations in accordance with the Americans with Disabilities Act (ADA).

Recertification Forms

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Recertification Manual

Your resource for maintaining your credential including continuing education credit requirements and guidelines; deadlines; and appeals.

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Exception/Appeal Request
Form


Use this form to request exceptions to the recertification policy.

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Continuing Education Reporting Form/Renewal Form

Complete this form to recertify your credentials and to outline the Continuing Education Units you are using to recertify your credential.

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CEU Petition Form

Complete this form if you are using CEUs to recertify that are not pre-approved by NCCPT.

Board of Directors Forms

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Certification Activities Agreement

Complete this form to acknowledge that you will maintain confidentiality and recuse yourself if a presumed conflict of interest is present.

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Public Member Declaration 



Complete this form if you are a public member on the NCCPT Certification Board.

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Code of Ethics Violation



Complete this form to recertify your credentials and to outline the Continuing Education Units you are using to recertify your credential.

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Board Nomination



Complete this form if you would like to nominate an individual or self nominate for the NCCPT Certification Board.

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