First Aid Digital Certificate Administrative Access Request Form

Administrative Access to the platform allows the user to distribute certificates to Training Centers and Instructors, upload rosters on behalf of Instructors, and search for completed student certificates. Please provide the following information to set up administrative staff with this access.

NOTE: All NSC First Aid certified instructors will be granted Instructor Access. This information is needed for Administrative Access.

Chapter/Training Center Name

Chapter/Training Center Account Number

Staff Member Name 1

Staff Member Email 1

Staff Member Name 2

Staff Member Email 2

Staff Member Name 3

Staff Member Email 3

Staff Member Name 4

Staff Member Email 4

Staff Member Name 5

Staff Member Email 5

Staff Member Name 6

Staff Member Email 6

Staff Member Name 7

Staff Member Email 7

Staff Member Name 8

Staff Member Email 8

Staff Member Name 9

Staff Member Email 9

Staff Member Name 10

Staff Member Email 10

Staff Member Name 11

Staff Member Email 11

Staff Member Name 12

Staff Member Email 12

Staff Member Name 13

Staff Member Email 13

Staff Member Name 14

Staff Member Email 14

Staff Member Name 15

Staff Member Email 15

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Permission to Contact You

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Contact Information

First Aid Digital Certificate Administrative Access Request Form

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