NCMA FORT WORTH CHAPTER NCMA CERTIFICATION APPLICATION FEE REFUND
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NCMA FORT WORTH CHAPTER NCMA CERTIFICATION APPLICATION FEE REFUND FORM In order to receive a refund, from the NCMA Fort Worth Chapter, regarding the NCMA Application Fee required to sit for an NCMA Certification, please fill out the attached form, as specified below, and certify that the information is current, accurate and complete. 1. Member must submit this form / certification as an invoice to the NCMA Fort Worth Chapter. Timing of submittal does not matter, as long as the exam was taken or CPCM was granted after 8/8/06 and in accordance with other guidelines listed below. 2. Member must first request reimbursement from his / her employer of any fee associated with NCMA certification, including the application fee. If the employer rejects the request for reimbursement, the NCMA Fort Worth Chapter will reimburse the member, only for the Application Fee, in accordance with these guidelines. Member must certify that an attempt was made to request reimbursement from their employer, with documentation provided herein. 3. Reimbursement from the NCMA Fort Worth Chapter is only for the $150 application fee per certification. No other fees are eligible for reimbursement from the NCMA Fort Worth Chapter (e.g. testing fees, study material fees, study session fees, re-certification fees, etc…). 4. NCMA Certification Procedures (reference NCMA National website http://www.ncmahq.org/ or NCMA Fort Worth Chapter website http://www.ncmafw.org/ for additional certification requirements, procedures or information): a. Initial Certification (CCCM or CFCM): i. Application Fee - $150 ii. Two (2) Exams (General Business and Commercial / FAR) b. Subsequent Certification (CCCM or CFCM) i. Application Fee - $150 ii. One (1) Exam (General Business exam only taken for initial certification). c. CPCM i. Must have already obtained CCCM and CFCM certifications ii. Application Fee - $150 iii. Submittal of a Written Essay 5. Must submit proof of sitting for and passing exam. If no proof exists, then NCMA Fort Worth Chapter will reimburse after receipt of this form and confirmation through NCMA Headquarters. a. For initial CCCM or CFCM, NCMA Fort Worth Chapter will reimburse after sitting for and passing the first exam (versus waiting until passing both exams). b. For subsequent certification, CCCM or CFCM, reimbursement is after sitting for and passing the only exam. c. For CPCM, confirmation of acceptance through NCMA Fort Worth Headquarters is the only validation method. Please direct any questions or concerns to the NCMA Fort Worth Chapter Certification Chair. NCMA FORT WORTH CHAPTER NCMA CERTIFICATION APPLICATION FEE REFUND FORM Name: Phone #: Email: Mailing Address: City, State Zip: Date sat / passed exam: CERTIFICATION: I, , certify that I have requested from my employer reimbursement for the application fee for an NCMA Certification and was subsequently disapproved. If my employer subsequently reimburses me, in addition to the NCMA Fort Worth Chapter, I will refund the NCMA Fort Worth Chapter the full amount paid by the NCMA Fort Worth Chapter. Signature: Date: Please mail form to: NCMA Fort Worth Chapter P.O. Box 14171 Arlington, Texas 76094-1171 Please direct any questions or concerns to the NCMA Fort Worth Chapter Certification Chair.