MTPHTC Training Claim Form

Name(Required)
This is where your certificate will be sent
This field is hidden when viewing the form
What date did you complete the training?(Required)
Which date did you complete the training?(Required)

Professional Attestation

I attest to attending this session in its entirety(Required)

Information

  • PO Box 1894 Helena MT 59624
  • (406) 763-2100

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