*** STAGING ***
CERTIFICATION CHALLENGE FEE INVOICE
CREDIT CARD PAYMENTS
:
Please complete the form, upload a copy of the invoice, select payment type as
"Electronic Payment"
and then select
"Checkout"
button.
MAIL-IN APPLICATION
:
Please complete the form and select Payment Type as
"Mail-In Application"
and then select
"Submit"
button.
Enclose a check or money order with the printed application
(Payable to Commonwealth of PA)
.
Do not add documents, Please mail with your completed form and fee
.
First Name
Last Name
InvoiceNumber
InvoiceDate
TotalAmount
Add a copy of Invoice (PDF or JPEG/JPG formats only)
PaymentType
Select a Payment Type
Electronic Payment
Mail-In Application