Certificate Request Form 

If you have completed official REVIVE! training, please fill out the form below to request a certificate. Please allow up to 7 business days to receive your certificate.

If you want to inquire about the status of your Certificate, please email revive@dbhds.virginia.gov.

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* 1. Which REVIVE! training did you complete?

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* 2. Who was the instructor of your training?

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* 3. What is your profession?

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* 4. Please provide your mailing address and contact information inc ase we need additional information.

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