Electronic Payment Request

An INVOICE will be sent from the email address exec@nchalb.org once processed. Invoices are processed within two business days (and more quickly on a deadline day). Please add exec@nchalb.org to your list of safe emails, otherwise, due to the nature of the invoice email, it may end up in a junk folder.

All electronic payments are processed through the Online Payment Processor. The Board office does not see or store any personal banking information.

 

E-mail Address: *

License Number:

First Name: *

Last Name: *

Please choose the one that best describes your request: * Licensee is making the electronic payment The business will be paying the electronic invoice directly I am paying but I need a receipt for reimbursement purposes. I am submitting this form on behalf of another applicant. (List applicant's name at top of form and your name in next question below). Don't know/none of the above

Name of person submitting this invoice request (if different from above):

Indicate fees you want to pay electronically by checking all boxes that apply: * F1 Application for Apprentice Registration ($100) F4 Application for License ($250) F4 Exam Registration Fee ($300) F8 Registered Sponsor Application ($150) F9 Renewal of Apprenticeship Certificate ($150) F9 Replace Invalid Apprentice Certificate ($100) F13 Application for License Renewal ($250) F22 CE Program Provider Application ($40) F23 CEU Self-Study Report ($15) F24 CEU Report of Attendance ($15)

Message:

Verification Code:

Enter Verification Code: *

* Required

Bottom of Form

PLEASE NOTE: You must submit this form to receive an invoice.