EPA 608 Certification Verification Form
Please complete this form to verify an individual's EPA 608 certification status. All fields are required for accurate verification.
Technician Full Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Certification Type or Category
*
Please Select
Type I
Type II
Type III
Universal
Other
Certification ID or Card Number (if applicable)
Certification Issuing Organization
*
Certification Issue Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Certification Expiration Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current Certification Status
*
Active
Expired
Suspended
Revoked
Other
Notes or Supporting Details
Submit Verification
Should be Empty: