CTIP Form | A&J Training Trust

Certification Training Incentive Program and Class Reimbursement Request Form

First Name

Last Name

Local Union

UA Card Number

Phone Number

Address

City

State

Zip Code

Certification Earned for Reimbursement

Date Certification Earned

Type (select one)

A & J Class

High Hazard Facility Safety Training Equivalent Completed at OSCA

JCAD 2 Year Program Completion

Large Bore Brazing Certification (BTS 2 and larger) (only certifications earned through practice/or testing at an A&J Training Center qualify)

Natural Trade University Class

Welding Certification (Only certifications earned through practice/or testing at an A&J Training Center qualify)

Security Word