NRWCS Membership Application | Workers Compensation Certifcation

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fields below to us by mail or e-mail and mailing a check to:

The National Registry of Workers’ Compensation Specialists
5505 Connecticut Ave. NW Ste.#109
Washington, DC 20015
Phone: 1-800-373-6592 Fax: 1-877-764-3294

E-Mail: contact@nrwcs.com

The RWCS professional designation program is a complete package. The one-time $425 tuition price includes the cost of registration, all course materials, and examination fee. There are no more modules to purchase or recertification expenses that will apply (some state insurance departments may require a nominal charge for CE credit).

Complete this form to pay using a credit card or PayPal account. All payments are processed via PayPal.We do not collect or store any credit card numbers.

By submitting this application I agree to following:
I hereby submit this application to The National Registry of Workers’ Compensation Specialists and declare that all information to the best of my knowledge is accurate and complete. If approved, I shall abide by the rules, regulations and Code of Ethics of NRWCS™. I also agree to complete a minimum of 15 hours of continuing education every three (3) years and supply proof of credits earned to NRWCS™ during the required reporting period. I also understand that my name, company, business telephone number and /email address will be shown on the Internet unless specifically requested.

First Name:	Address 1:

Last Name:	Address 2:

Company:	City:

Email:	State:

Personal Phone:	Zip:

Work Phone:

Price:	$425