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ASHA Certification Maintenance Extension Request Form

Please submit this Extension Request form only if you did not complete all 30 CMHs within your 2019–2021 (1/1/2019–12/31/2021) ASHA Certification Maintenance Interval. You will receive an e-mail confirmation with further instructions and deadlines within 2 business days of submitting this request.

Requests for certification maintenance extensions may only be submitted, and granted, from December 1, 2021 – March 31, 2022. If you have previously been granted an extension for this interval, it is not necessary to submit an additional request. Any excess hours over the 30 hours required for your current interval will not count towards your next interval. For example, if you meet the requirements on 2/22/2022 and completed 35 hours by that date, the additional 5 hours cannot be rolled over into your new interval.

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