Certification Renewal Payment Form
SEI-Certified PSP Developer • CERT-Certified Computer Security Incident
Handler (CSIH)
Certificant Information
Please provide the information requested below. If you complete the application by hand, please print legibly.
Last Name (Family Name)
First Name (Given Name)
Certification Number
Middle Name(s)
Email
Renewal Fee
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SEI-Certified PSP Developer: $75.00 (USD)
CERT-Certified CSIH: $150.00 (USD)
Recertification is valid for three (3) years, starting from the expiration date of the original certification period.
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Visa
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Diner’s Club
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Card Number
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MasterCard
American Express
Expiration Date
Billing Information
Please enter the billing information associated with the credit card you are using.
Last Name (Family Name)
First Name (Given Name)
Middle Name(s)
Organization Name (if applicable)
Street Address
City
Telephone Number
State or Province
Country
Postal Code
Email
Submission Instructions
Submit this completed form by email to ar-request@sei.cmu.edu. You will receive a payment confirmation by
email within five (5) business days. If you have any questions about the certification renewal log or PDU
requirements, please email certification-info@sei.cmu.edu for a prompt response.
The information you provide on this form is used only for payment purposes. The SEI does not retain your information and does not
share any information with third-party individuals or organizations.
Rev 4/1/15