2020 Certification Program Enrollment

To enroll in UCLI’s 2020 Certification Program, email a completed Certification Enrollment Form to or complete the online form below. Upon submitting the form, you will receive a copy of your responses at the email of the designated representative completing the form.

Please read the 2020 Certification Program Terms & Conditions prior to proceeding.

Enroll Here

    Organization/Company Name (required)

    Organization/Company Address (required)

    Organization/Company Phone Number (required)

    Name and Position of Authorized Representative Completing the Form (required)

    Representative's Email (required)

    Representative's Phone Number (required)

    Name and Position of Designated 2021 UCLI Certification Representative (See Terms & Conditions, paragraph 1a) (required)

    Designated 2021 UCLI Certification Representative's Email (required)

    Certification of Intent to Comply: I hereby certify that my organization/company has read all terms and conditions and will comply with each of them. I further certify that I am duly authorized to enroll my organization in the UCLI 2021 Certification Program.

    Representative's Electronic Signature (required)

    Date Completed (required)