Electronic Payment Request
This form will submit the electronic payment request to the HR department. Once HR processes your request you will receive an email with instructions on how to pay by credit card.
DO NOT FILL OUT THIS FORM UNTIL YOU ARE READY TO PAY YOUR CERTIFICATION FEE.
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Email *
Name
Site/Department
Employee ID
Contact Email/Phone Number
Credit Card Billing Address
Purpose: Please allow one business day processing time of this request. Once processed, you will receive an email from PNC with a link to pay by credit card. If you have an approved DOE military fee waiver, do not fill out this form. Endorsements renew automatically with a subject; do not select to renew endorsements that are already on your certificate. DO NOT MAIL A CHECK TO HR.
Select all that apply
Certification - Renewal ($75.00)
Certification - Add Reading Endorsement ($75.00)
Certification - Add ESOL Endorsement ($75.00)
Certification - Add Gifted Endorsement ($75.00)
Certification - Add Subject ($75.00)
Certification - Apply CTE Certificate ($75.00)
Certification Reminder
Before submitting your payment request to the district please submit your application to the FLDOE for renewals, endorsements, or subject additions at http://fldoe.org/teaching/certification/.
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