Get Iowa Insurance Division Course Approval Application Form

Completing the Iowa Insurance Division Course Approval Application Form online can be a straightforward process with the right guidance. This guide provides step-by-step instructions to help you accurately fill out each section and ensure your application is submitted correctly.

Follow the steps to complete your application effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your provider name in the designated field. This identifies the individual or organization offering the course.
3. Input your provider number, which is assigned to you by the Iowa Insurance Division.
4. Fill in the street address, city, state, and zip code fields to provide your location information.
5. Provide your email address so that the Iowa Insurance Division can contact you regarding your application.
6. Type the course title, ensuring it does not exceed the limit of 40 characters.
7. Leave the course number field blank, as it will be assigned later.
8. Choose the appropriate subject area by selecting one of the options provided: General, Ethics, Indexed Product.
9. Select the method type for the course: Classroom, Long-term Care, Annuity Products, or Self-study.
10. Specify the exact number of credits requested, noting that no half credits are permitted.
11. Indicate whether the course is open to the public and if it is toward a National Designation by checking the corresponding boxes.
12. For classroom courses, detail how the course will be taught by selecting all applicable methods: Lecture, Video/Teleconference, Interactive Web-based, Workshop, Panel Discussion, or Other.
13. List the date, starting time, and location of the first course presentation. If there are multiple presentations, attach a separate sheet.
14. Provide your phone number for contact purposes.
15. List the names and qualifications of the instructors, using an additional sheet if necessary.
16. Provide the names and sample signatures of persons authorized to sign the certificates of completion.
17. Attach a comprehensive course outline, noting the duration of each section in minutes.
18. Answer whether there have been any disciplinary actions taken against the provider or associated individuals since your last application.
19. Certify that the information is accurate, print or type the name of the provider representative, and include their phone number, signature, and date.
20. Make the $55 fee payable to Pearson VUE/IA CE and ensure it's included with your mailed form.
21. Save your changes, then download, print, or share the completed form as necessary before submission.

Begin your online application process today and ensure a smooth submission experience.