Credit Request Form
Please provide the details below regarding your credit request. Someone from our team will reach out by email or phone with more information within one week.

Please note that credit reporting can take up to 3 weeks to process. If the course/event you attended took place less than 3 weeks ago, your credits may still be in the reporting stage.
Email address *
What is your name? *
Your answer
What is the name of the individual requesting credits?
Fill in this field if you are requesting on behalf of someone else.
Your answer
What is the title of the course/event you are requesting credit for? *
Your answer
On what date did you attend this course/event? *
Please note that credit reporting can take up to 3 weeks to process. If the course/event took place less than 3 weeks ago, your credits may still be in the reporting stage.
MM
/
DD
/
YYYY
What kind of credits are you requesting? *
Check all that apply.
Required
If you are requesting AIA credits, what is your AIA number?
Your answer
If you are requesting GBCI credits, what is your GBCI number?
Your answer
What is the best phone number to reach you at? *
We may reach out by phone if we need further information to complete your request.
Your answer
Do you have any additional information to share with us regarding this request?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of USGBC-NY. Report Abuse - Terms of Service