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Lost Certificate Replacement Request
$20.00 Replacement Fee (non-refundable)

PLEASE READ: Upon receipt of payment, ICE will research student records based solely on the information provided on the Replacement Certificate Form. Please provide accurate and thorough information to facilitate and expedite this process (i.e. name of student who actually attended the course, month and year class was taken, type of class completed). Refunds will not be issued upon discovering that a student did not attend, complete, or successfully pass a course for any reason. Replacement certificates will only be issued for classes completed within the current or previous four (4) calendar years. You are paying for one of our employees to spend the time to search through thousands of files, if we cannot find your record of attending a class because you provide inaccurate information, NO REFUND will be issued.


To Pay by Credit or Debit Card
Lost Certificate Replacement Fee - $20.00

Month and Year class was taken

Name of Student who attended the class

Mailing Address

Student Phone Number

Student Email Address

Type of Class completed

Additional Comments


Business Phone 484-315-8120
Fax 484-315-8268

1379 Dilworthtown Crossing, Suite 227
West Chester, PA 19382

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Please contact I.C.E. at: Phone 484-315-8120 * Fax 484-315-8268 or E-Mail Us.

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