Replacement Card/Certificate Request
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Replacement Card & Certificate

Replacement Card/Certificate Request

This form is for students that have attended a course put on by the Rocky Mountain Education Center and need a replacement certificate and card.

**This is not for 10 or 30 hour replacement cards, please contact Jeannine Kreller at 888-329-7076 or email at outreach@rrcc.edu**

Instructions:

    1. Before you fill out this form. You will need to know the location of where you took the course and the dates.
    2. Fill in your full name as it appeared on your previous certificate, address, city, state, zip and phone number.
    3. Fill in the name of the course, the date and location.
    4. We do require a $25 replacement fee, you can either submit this form online and call in with a credit card number or please print out the form and send a check to:

Red Rocks Community College/RMEC
Attn Trisha Lopez
13300 West 6th Ave Box 41
Lakewood CO 80228

Once we receive the form, we will process the request in 3 business days. If we need more information from you we will call you. Please make sure you have completed all fields. Please call us at 800-933-8394 or 303-914-6420 if you have any questions.

Your Information
Name
A value is required.
Address
City State Zip
Invalid format.
Daytime Phone Number
A value is required.
Email
Invalid format.A value is required.
Course Information
Course Title A value is required.
Type of Course
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Date of Course A value is required.Invalid format. Format: mm/dd/yy
Comments
 
9:00 This Class
10:00 Another Class