New Certification Form

Referral Guidelines

To insert a newly certifited PHT user within the USPOULTRY database and for certificate print/approval, please provide the following information:

  • Name & company information for the trainer who trained the newly certified user/s.
  • First and Last Name of the newly certified trainer/s. You may only submit 20 on this form.
  • Company Address: Where the individual certificates will be sent to. (only one location permitted)

Accredited Trainer Information


Newly Certified PHT Users

Provide names to match the number of Users

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