**********************************

NEW COMPANY OR COMPANY NAME:

If you have changed employers and need a new card with a different company name, please read and follow the criteria below.

If you are requesting a new ID card with a new company name, please read carefully.  Print and mail this ID Release Waiver form (click link to open pdf document).

Based on feedback from inspectors and employers, the company’s name in our records will be indicated on each card. This has been carefully evaluated and discussed with companies and AHJ’s. If you change companies and need a new ID card you will be required to submit an “ID Release Waiver”.  If you change employers, a fee will be required with the waiver. The ID Release Waiver will require the signature of the employee, the supervisor name for the employer indicated in our records, and if changing employers a signature from the new employer. You will be required to return the previous card to CSA with the original signed waiver form and appropriate fee to obtain a new card.  Additional conditions and information including fees is provided on the release waiver and on our web site.  Please recognize that a CSA processing time of several days may be required to process a new ID card with a new company name.  You must keep a copy of the waiver with you during this processing time to show an inspector upon request that a change is in process. The inspectors may contact CSA for verification.

As indicated on the back side of all cards and in the accompanying letter of all previous and new cards, these cards are the property of CSA and are issued to the individual. CSA will include necessary information on the cards to insure the integrity of the qualification process and to assist the inspectors. Only a single card will be issued to an individual. This card may indicate multiple qualifications (such as fire extinguisher and sprinkler.  If lost or damaged, replacement cards are available for a fee, but will have the same information. If an individual is suspected of displaying multiple cards (such as different companies), the inspector is directed to verify the company name with our records and if necessary take possession of the card.

Send form with a company check, cashiers check, or money order to CSA for the amount indicated.  Personal checks will not be accepted.