You are submitting your Credential Renewal Extension Request.
The late fee is $15, 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.
Following payment you will be provided a link to complete the renewal extension request form.
Please click the "Next" button to continue.