Please fill out the following information to request a duplicate statement of credit. This duplicate statement of credit will only be processed if you have completed and passed hours through PharmaCE™. Duplicate copies are for your records only, and are not to be resubmitted to your state boards. If you have not completed any hours with PharmaCE™, please purchase a program, and submit your answers. If you successfully pass the program, you will receive a statement of credit.

Unless otherwise indicated, the request will be sent via email.

*Full Name:

*Email Address:

*Program Title/ACPE Number :
(Please enter the Program Title or ACPE number to identify which certificate(s) you are requesting.)