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Application - Certified Functional Safety Expert

E-mail saved Application in PDF format to: CFSE Administrator ListApplication/Code of ConductYesNoEducation (E-mailed COPY of diploma and/or transcripts)YesNoCase Study (CFSE/CACE ONLY)YesNoReferee Statements CFSE/CACE (QTY 4) CFSP/CACS (QTY 2) YesNoPayment ( or MUST e-mail receipt for for: CFSE/CFSP Process Safety ( applications ) Safety Hardware Development Safety Software Development Machinery Safety ( applications ) Automotive Safety CACE/CACS Certified Automation Cybersecurity Expert Certified Automation Cybersecurity SpecialistApplication Form* NEW CFSE/CFSP Referral ProgramFor every 3 candidates you get to apply AND take the CFSE/CACE/CFSP/CACS exam. You will receive up to $ off your next renewal. 3 Candidates = $ off! 6 Candidates - $ off! E-mail Application in PDF format to: CFSE Administrator FormPage 2 of 6 Exam FAQ Documents needed for exam sign in: Government issued passport OR Driver's license Note: Candidates will NOT be admitted to the exam once started.)

- Non-programmable calculator (Examples: BA-35, BA II Plus, TI-30Xa, TI-30Xa) - Standards, e.g. IEC 61508 & IEC 61511 - Study Guide and/or Study Book Package

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