Train-The-Trainer Certificates & Forms

Certificate/Form Name

Certificate Part Number

• Bitter Qualitative Fit Test Record 9700-713
• Wallet Cards 9700-716
• Certificate of Respirator Training 9700-717
• PortaCount® Loan Program Request Form 9700-001
• Probed Cartridge Kit Instructions for 8000 8006-710
• Probed Cartridge Kit Instructions for 7000/7800 & 9000 7006-710
• PortaCount® Fit Test Record 9701-722
• Train-the-Trainer Program – Authorized Distributor Trainer Certificate 9701-716
• Train-the-Trainer Program – Authorized End-User Trainer Certificate 9701-714
• OHD Quantitative Loan 0700-702


A. Fit Testing with Bitter, use:

• Bitter Qualitative Fit Test Record 9700-713
• Wallet Cards 9700-716
• Certificate of Respirator Training 9700-717


B. Fit Testing with PortaCount®, use:

• Wallet Card 9700-716
• Certificate of Respirator Training 9700-717
• PortaCount® Fit Test Record 9701-722
• PortaCount® Loan Program Request Form 9700-001

C. Moldex Representative training a Distributor to fit test, use:

• Train-the-Trainer Program – Authorized Distributor Trainer Certificate 9701-716

Note: You are only authorized to train End-Users in fit testing. You are not authorized to train End-Users or other distributors in the Train-the-Trainer program.

Please return a copy of the completed “Authorized Distributor Trainer Certificate” to Moldex Technical Services Department via email tech@moldex.com or fax to: (310) 837-9563.

D. Moldex Representative or Distributor training an End-User to fit test, use:

• Train-the-Trainer Program –Authorized End-User Trainer Certificate 9701-714

Note: You are authorized to train your employees in fit testing and the Train-the-Trainer program.

Please return a copy of the completed “Authorized End-User Trainer Certificate” to Moldex Technical Services Department via email tech@moldex.com or fax to: (310) 837-9563.

Click here to view the Authorized Distributor Trainer & Authorized End User Trainer Certificates.

Scroll to top