DER Invoice Request

INVOICE REQUEST FOR DER ONLINE TRAINING

* Indicates required field

First Name*

Last Name*

Email*

Student Name (If different from above)*

Student email address*

Company Name*

TelePhone Number*

Address Line 1

Address Line 2

City

State

Zip Code

Country

Select DOT Operating Agency/Mode: *

FMCSFAAFTAFRAUSCGPHMSAOTHER/UNKNOWN

After submitting this form, you will receive an email with an invoice within one business day reflecting the discounted course fee. After Certified Training Solutions receives your payment, the student will receive an email with login information.

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take the STRESS out of compliance with
Department of Transportation (DOT) Regulations!