REQUEST FOR DUPLICATE CERTIFICATION CERTIFICATE

NOTE:

Requests for duplicate certificates are for ProBoard/IFSAC National Certification certificates issued through the OSFC/PSFA.
Staff will make every attempt to provide you with an official copy of your certificate. However, in some cases, due to the issuance date, you may only receive a letter acknowledging your certification.

CREDIT CARD PAYMENTS

Please complete the form, upload relevant documents, select payment type as "Electronic Payment" and then select "Checkout" button.
All applications requesting a duplicate certificate will be charged $15.00 per certificate.

MAIL-IN APPLICATION

Please complete the form and select Payment Type as "Mail-In Application"and then select "Submit" button.
Enclose a check or money order with the printed application (Payable to Commonwealth of PA).
Do not add documents, Please mail with your completed form and fee.

First Name

Last Name

SSN# (Last Four Digits)

Date Of Birth

Street Address

City

County

Home Phone

State

Zip

Alternate Phone

IFSAC Certificate

ProBoard Certificate

Instructor Card

Additional Document

Please Select the Level Requested
1	Airport Firefighter	18	Driver/Operator – Aerial
19	Driver/Operator – Mobile Water Supply	17	Driver/Operator – Pumper
8	Fire Inspector	4	Fire Instructor I
5	Fire Instructor II	9	Fire Investigator
6	Fire Officer I	7	Fire Officer II
2	Firefighter I	3	Firefighter II
10	HazMat Awareness	13	HazMat Incident Commander
11	HazMat Operations	12	HazMat Technician
14	Incident Safety Officer	16	Industrial Fire Brigade - Advanced Exterior
15	Industrial Fire Brigade - Incipient	30	Juvenile Firesetter Intervention Specialist I
31	Juvenile Firesetter Intervention Specialist II	28	Public Fire/Life Safety Educator I
29	Public Fire/Life Safety Educator II	25	Rescue Technician – Confined Space
23	Rescue Technician – Rope	26	Rescue Technician – Structural Collapse
27	Rescue Technician – Surface Water	24	Rescue Technician – Trench
20	Rescue Technician – Vehicle/Machinery	21	Rescue Technician – Vehicle/Machinery I
22	Rescue Technician – Vehicle/Machinery II

PaymentType

TotalAmount