Use the forms below to assist in completing and maintaining your certification.
Candidate Handbook
Your resource for all credentialing information including exam eligibility; scope of practice; application procedures; exam development and administration; and recertification maintenance.
Exception/Appeal Request Form
Use this form to request exceptions to the exam eligibility criteria, exam special accommodations, or exam performance inquiries.
NCCPT Request for Special Accommodation
Use this form to request accommodations in accordance with the Americans with Disabilities Act (ADA).
Recertification Manual
Your resource for maintaining your credential including continuing education credit requirements and guidelines; deadlines; and appeals.
Exception/Appeal Request
Form
Use this form to request exceptions to the recertification policy.
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.
CEU Petition Form
Complete this form if you are using CEUs to recertify that are not pre-approved by NCCPT.
Certification Activities Agreement
Complete this form to acknowledge that you will maintain confidentiality and recuse yourself if a presumed conflict of interest is present.
Public Member Declaration
Complete this form if you are a public member on the NCCPT Certification Board.
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.
Board Nomination
Complete this form if you would like to nominate an individual or self nominate for the NCCPT Certification Board.