Credential Request

Use this form to request a confirmation of an operator's certification.

You may also use this form to inform RETA of your concerns regarding a RETA Certified Operator that you think may be in violation of the RETA Code of Conduct.

First Name *
Last Name *
Email Address *
Phone *
Address Line 1
Address Line 2
City
State/Location
Zip/Postal Code
Organization
Professional Title
Why You're Contacting Us *	Credential Request for Employee/Applicant Report a Code of Conduct Violation Verify My Own Credentials Other
Name of Person Who You Need Credentials For *
Comments *

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