(Revised 04/11)

The certificate holder must complete Form 3910, Annual Certificate Renewal, or Form 3921, Multiple-Certificate Annual Renewal, and send it with a check, money order, or cashier’s check for the fee to DARS DHHS. When DARS DHHS receives the form and fee, a DARS DHHS staff member

  • updates the certificate holder's contact information; and
  • mails a new certificate card, which is valid through the next year.

See 1.10 Certificate Renewal and Recertification Fee Schedule.