EPA 608 Technician Certification Roster

Company-wide roster of refrigerant technicians capturing certification type, certifying organization, ID number, and proof-of-certification location for AIM Act recordkeeping.

Technician Identification

• Technician full name
• Employee ID
  Optional if your company uses an internal employee identifier for roster matching.
• Primary work location
  Optional location or site assignment for internal roster management.

EPA 608 Certification Details

• Certification type
• Certifying organization
  Name of the certifying organization or approved certifier shown on the credential.
• Certification ID number
  Enter the credential or certificate number exactly as shown on the certification record.
• Certification issue date
  Optional if your organization tracks issue dates for internal compliance review.
• Certification expiration date
  Use only if the certifying organization issues an expiration date or your internal policy requires it.

Proof of Certification and Recordkeeping

• Proof-of-certification location
  Enter the file path, document management link, or physical record location where proof is stored.
• Upload proof of certification
  Optional upload of the certification card, certificate, or other proof-of-certification document.
• Roster notes
  Use for internal compliance notes, such as restricted work scope, renewal reminders, or audit follow-up.

Attestation and Consent

• I confirm the information provided is accurate to the best of my knowledge.
• I consent to my certification information being stored and used for compliance recordkeeping, internal audits, and regulatory verification.
  This form collects limited PII for compliance purposes only and should be retained according to company policy and applicable law.