Certification Retired Status Form

The DBIA Inactive Status provides DBIAs™ and Assoc. DBIAs™ a one-year period in which to meet their recertification requirements. Inactive Status is available to credential holders who currently do not meet their renewal requirements but do not wish to lose their certification status. During the time of Inactive Status, the DBIA™ or Assoc. DBIA™ MAY NOT BE USED. The deadline to apply for this status is December 1 of the year in which your renewal is due.
Credential Holder
- DBIA™
- Assoc. DBIA™
Which certification do you currently hold?
Certification ID Number
Renewal Due Date
MM slash DD slash YYYY
Name
First Last
Company
Preferred Mailing Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Fee
- DBIA Member – $150.00
- Non-Member – $300.00
Payment Method
Payment Method
- Check (made payable to DBIA)
- Amex
- Visa
- MasterCard
Name on Credit Card
Credit Card Number
V-Code
Expiration Date
You can reactivate your credential at any time during your one-year inactive period as long as you meet the recertification requirements. You may recertify by fulfilling the required hours of approved CEUs. To reactive your status you must meet all the renewal requirements that were due at that time. CEUs must be accrued within the last two years preceding this application. Your DBIA credential will be reactivated upon approval of completed renewal application form and payment of the required renewal fee.

Payment Method