Please complete the following
- download the file
- electronically complete it
- print it
- fax or mail it along with all required documents to Shield Accreditation (fx: 866.440.3156).
Once received, we will contact you shortly. Thank you!
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Shield Accreditation
P.O. Box 665
Three Rivers, CA 93271
Phone: 877.947.3472
Phone: 559.561.1030
Fax: 559.561.0181
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