HSI Certification CE Report Form

Members holding a current HSI Handbook and/or HSI Fabrication certification can remain certified by completing 10 hours of job-related continuing education (CE). Verification that CE has been completed during the three-year term of certification is required.
Please complete and submit this form no later than 30 days after your certification expiration date.

Please provide the following information:

First Name:
Last Name:
Company Name:


Please indicate which certifications you have based on the list below:
Composite Hose Handbook Certified
Corrugated Metal Hose Handbook Certified
Fluoropolymer Hose Handbook Certified
Hydraulic Hose Handbook Certified
Industrial Hose Handbook Certified
Composite Hose Fabrication Certified
Corrugated Metal Hose Fabrication Certified
Fluoropolymer Hose Fabrication Certified
Hydraulic Hose Fabrication Certified
Industrial Hose Fabrication Certified
What type of job-related training did you participate in? Check all those that apply:
HSI Hands-On Training (10 hrs)
NAHAD Annual Meeting (5 hrs)
New Employee/Mentor Training (5 hrs)
University of Innovative Distribution (5 hrs)
Hose & Coupling World (4 hrs)
Manufacturer, Safety, Skills Training (Eligible: product specific training, workplace safety training, ‎crimper training, welding or rigging certification.)‎
Sponsor Date ? Hours
Sponsor Date ? Hours
Sponsor Date ? Hours

Required Notice:

I attest that during my current certification period I participated in a minimum of 10 hours of job-related training as indicated above.
   - denotes required fields

Join the NAHAD Community

Become a part of the community dedicated to growth and prosperity in the hose and hose accessory industry.