Certification and Membership Verification

Use this form to obtain membership and or certification verification for an individual.

You will receive a response within 2 business days.

Please note that the fee paid is non-refundable.

Membership & Certification Verification Request

Full Name of Requester *

Email Address of Requester *

Requester Company Name

Company name of the individual requesting the information.

Full Name of Individual Being Inquired About *

Full name of the individual being inquired about.

Email Address of Individual Being Inquired About *

Certification Designation You Wish to Confirm *

Check any certifications you wish to confirm for the individual you are requesting information.

Full of Document

Reason for Verification Request

Request Access to Disciplinary Action Records

Select this option if you wish to obtain access to disciplinary action related to the professional certification.

Are you inquiring about status of membership with SMEI *

Permission Document *

Click or drag a file to this area to upload.

Please upload a document verifying that you have permission from the individual to verify their information. Files accepted: .jpg, .pdf, .png

Records Processing Fee *

Price: $150.00

Credit Card *

Card

Name on Card