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If online provide access instructions. Signature of Applicant/Provider print and sign before mailing SEND MATERIALS TO US Postal Mail Address ATTN CE COORDINATOR DOH RADIATION CONTROL BIN C21 4052 BALD CYPRESS WAY TALLAHASSEE FL 32399-1741 DH Form 374 2/16 Florida Administrative Code Rule 64E-3. OFFICE USE ONLY CE PROVIDER INFORMATION SHEET FLORIDA DEPARTMENT OF HEALTH BUREAU OF RADIATION CONTROL RECEIVED PROVIDER NUMBER COURSE IF KNOWN TELEPHONE - CONTENT/DISPOSITION EXTENSION CONTACT...
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How to fill out ce provider information sheet

01
Review the CE provider information sheet form to familiarize yourself with the sections and requirements.
02
Gather the necessary information about your CE provider, including their name, address, contact information, and accreditation details.
03
Fill out the first section of the form, providing the basic details of your CE provider.
04
Move on to the second section and provide information about the courses or programs offered by your CE provider.
05
Include details such as the course titles, dates, locations, and any accreditations or certifications associated with each course.
06
In the third section, provide information about the instructors or presenters involved in your CE programs. Include their names, credentials, and contact information.
07
Proceed to the fourth section and provide details about the fees associated with your CE programs. Specify any discounts, payment options, or refund policies.
08
Complete the fifth section by providing information about any affiliations or partnerships your CE provider has with other institutions or organizations.
09
In the sixth section, you may need to provide additional information or documentation as requested by the form.
10
Review the completed information sheet and make sure all the details are accurate and up to date.
11
Submit the filled-out CE provider information sheet according to the instructions provided.

Who needs ce provider information sheet?

01
Individuals or organizations that offer continuing education (CE) programs or courses.
02
CE providers who seek accreditation for their programs.
03
Educational institutions or professional organizations that require CE provider information for ongoing compliance or recognition.
04
Licensure boards or regulatory bodies that oversee professional development requirements.
05
Individuals or organizations that are interested in evaluating the quality and credentials of CE providers.
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Ce provider information sheet is a document that contains details about a continuing education provider.
Continuing education providers are required to file ce provider information sheet.
Ce provider information sheet can be filled out by providing all the required information about the continuing education provider.
The purpose of ce provider information sheet is to ensure transparency and accountability in the continuing education provider industry.
Information such as the name of the provider, contact details, course offerings, and accreditation details must be reported on ce provider information sheet.
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