Credential Renewal Extension Request

To submit on-line, please fill in the following fields and select “Continue to Payment Processing”
(VISA/MC/Amex accepted)

To submit via mail, fill in and print this form and send with payment to:

23607 Highway 99, Suite 2-C
Edmonds, WA 98026

First name: (required)
Last name:
(as shown on credential)
Phone number: (required)
E-mail: (required)
Credential you are requesting a renewal extension for: PACE Registered Paralegal (RP®)
CORE Registered Paralegal (CRP™)
Renewal Date: (required)
Type of request: I am requesting an extension prior to my renewal date.
I am requesting a retroactive extension after my renewal date.
Explain why your credential won't be (or was not) submitted on time:

The late fee is $50, payable through this form, not at the time of renewal.

I understand that this is merely a request for a renewal extension, not the renewal itself, and such request must be approved prior to a late renewal affidavit being submitted or such late affidavit will be rejected.

modified 11/20/2015

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