Card Replacement Request - NAUI Worldwide

Instructions

Fill this form out completely, including all italicized information. Processing times may be delayed if: your certification was outside of the U.S., more than 20 years ago, or if we need to verify your information with the instructor. For quicker processing time, include copies of any documentation you may have (i.e. wall certificate, photocopy of original card, instructor-signed training log pages.)
If asking for a name change, include a clear copy of your Photo ID (Passport or Driver’s License) and legal documents.
Checks are not accepted.
To Order a Replacement ONLINE, sign in or create a FREE ACCOUNT at core.naui.org.
Photos uploaded to your CORE account profile will be printed on all certification cards.

First/Given Name*

Middle Initial

Last/Family Name*

Date of Birth*

Course Date*

Course Level (Scuba, Advanced, Master, etc)*

Name at Time of Certification (if different)

Email*

Street Address (At time of certification)*

City*

State/Province

Zip/Postal Code

Country*

NAUI Instructor # (if applicable)

NAUI Instructor Name*

I need to upload additional documentation.