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Important Dates
2017 Exams
May 1 - 6
November 6 - 11
Inactive Status Online Application

You must complete all the fields in order to complete your application. If a field is left blank, an error message will occur and you will need to enter the requested information.

You must be Inactive currently or your certification must expire on 12/31/2017 to complete the application for Inactive status. It will become effective on 1/1/2018.

Identification Information
First Name:
Middle Initial:
Last Name:
Email Address:
CHT ID:
Licensing/Credential
RadDatePicker
RadDatePicker
Open the calendar popup.
Home Address Information
Address:
Address 2:
City:
Country:
State/Province:
Zip:
Primary Phone:

select
Secondary Phone:

select
Application Information

I understand that during the time of Inactive Status I am not allowed to use the CHT credential. Should I use the CHT credential during an inactive period, I will lose the right to reactivate my credential by any means
(work experience/CE or examination) for a period of 10 years. By entering my name below, I agree to the conditions for Inactive Status.

Signature:
Date:
Payment Information

For Inactive Status, there is an annual fee of $100, due by December 31st of each year while Inactive. No other forms are necessary to complete application for Inactive Status.

Amount Due: $100.00
Card Holder Name:
Card Type:
select
Card Number:
Expiration Date:
select

select