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Continuing Education Verification Request (No charge for active CCS) Name of Licensee NCC# (If applicable) Date of Request Address Email Address Daytime TelephoneName of Program:Name of Sponsoring
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How to fill out continuing education verification request

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How to fill out continuing education verification request

01
Obtain the continuing education verification request form from the relevant certification or licensing board.
02
Fill out your personal information, such as your name, contact information, and any identification numbers required.
03
Provide details about the continuing education courses or programs you have completed, including the names, dates, and durations of each.
04
Attach any supporting documents, such as certificates of completion or transcripts, to validate your completion of the courses.
05
Sign and date the request form to certify the accuracy of the information provided.
06
Submit the completed form and any accompanying documents through the designated submission method, such as mailing it to the board or uploading it online.
07
Keep a copy of the filled-out form and supporting documents for your records.

Who needs continuing education verification request?

01
Individuals who need to provide proof of continuing education completion to a certification or licensing board.
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Continuing education verification request is a form used to confirm that an individual has completed the required continuing education credits in a specific field.
Any professional or individual in a regulated field who needs to maintain their license or certification through continuing education is required to file a continuing education verification request.
To fill out a continuing education verification request, the individual must provide their personal information, details of the completed continuing education courses, and any other required documentation.
The purpose of the continuing education verification request is to ensure that individuals in regulated fields are meeting the necessary requirements to maintain their license or certification.
The information reported on a continuing education verification request typically includes the title of the course, date of completion, number of credits earned, and any relevant certification numbers.
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