Certification Renewal/Add-On Verification
CERTIFICATION DEPARTMENT 3300 FOREST HILL BLVD., SUITE A-152 WEST PALM BEACH, FL 33406
Certification Renewal/Add-On Verification
Employee ID#
DOE#/License#
School/Department
First Name
Last name
Email
Phone
1. Application must be submitted online to the FLDOE Website
*Date Application was submitted to FLDOE: _______________
2. Mark the appropriate section below and attach required documentation.
Documentation for Renewal
Documentation for Add-On
The In-Service requirement for Renewal is 120 points, to include 20 in ESE. Indicate below the method of renewal:
In-service points earned through PBC
# of In-service Points______ ESE Points______
Official transcript (attach or on file) Subject Area Exam College Teaching Experience National Board cert (attach or on file)
Subject to be Added: _____________________
In-service points earned through PBC Official transcript (attach or on file) Subject Area Exam
3. Select Payment Method
Payroll Deduction ? Available September 1st through May 1st (NOT AVAILABLE FOR CHARTER SCHOOLS) District Online Credit Card Payment (attach receipt)
4. Return this form to: CERTIFICATION OFFICE SUITE A-152
In-Service Points Verified Bank Updated
FOR OFFICE USE ONLY
Payment Received Transmitted to FLDOE
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