Online Idph License Renewal Course printable pdf download

Online IDPH (Illinois) FSSMC

License Renewal Course

$90.00 Services & Materials fee for IDPH 5 Year Renewal:

 Nationally award winning, self-paced online course accessible 24/7 with internet connection

 TAP SERIES completion certificate available to print online at conclusion of course

 FIT mails required Illinois Dept. of Public Health documentation to state

 IDPH approved Food Industry Training certificate acknowledging completion of course

 STUDENT MUST SEND $35 LICENSE RENEWAL FEE DIRECTLY TO STATE

TAP SERIES ONLINE SANITATION RENEWAL REGISTRATION

Full Name _________________________________ALL INFORMATION REMAINS CONFIDENTIAL

Home Address ______________________________________________________Apt. ___________

City _____________________________________State _____________________Zip____________

Telephone ______________Cell ___________________E-Mail ______________________________

Company ______________________Job Title_______________Website_______________________

Address ____________________________ City ____________________State ____Zip _________

Telephone ______________Fax __________________E-mail ______________________________

Illinois Dept. Of Public Health 8 digit FSSMC#______________________Exp. Date: ____________

USER LOGIN: _______________________________PASSWORD____________________________

Payment Method: Check/MO: #___________Credit Card: Visa ( ) MC ( ) AmEx ( ) Discover ( )

Credit Card #: ________________________________Exp. Date:__________ CVN code # :_________

Full Name on Card:________________________________CC Signature:_______________________

Mailing Address: ___________________________City:_________________ State:____ Zip:________

Payment: Credit Card: Fax/email registration form; Check/Money Order: Mail with registration form to:

Food Industry Training (FIT)

20 Danada Square West, Suite 133

Wheaton, Illinois 60189

COURSE IS NON-REFUNDABLE. STUDENT IS REGISTERED WHEN PAYMENT IS RECEIVED.

FIT MAILS IDPH SCANTRON TO STUDENT. STUDENT MUST RETURN COMPLETED FORM TO

FIT. FIT THEN SENDS FORM TO IDPH TO CONFIRM TRAINING. IDPH MAILS NEW LICENSE TO

STUDENT WHEN $35 STATE FEE AND TRAINING HOURS ARE CONFIRMED.

OFFICE: 630-690-3818 info@foodindustrytraining.net

FAX:

630-690-4075

Online Idph License Renewal Course