JUT Credit Request Form

First Name

Last Name

UA ID

Local

Position In Field

Training Start Time

Training End Time

Total JUT Hours Requesting

Date(s) of Training

Location

Course name pertaining to the piping industry

Brief course description

Instructor Name

Required Attachments (all submissions must include):

• Official course description from the training provider

• A clear, legible sign-in sheet from the training provider
(Reproduced or recreated sign-in sheets will not be accepted)

For Online Training (in place of a sign-in sheet):

• Certificate(s) of completion or official provider documentation

• Documentation must clearly state the total number of training hours

Optional:
Any additional documentation that supports your request

⚠️ Important: Submissions missing required documentation will not be reviewed.

Attachment 1

Attachment 2

Attachment 3

Attachment 4

Attachment 5

Security Word