FIS 0407 (6/18) Department of Insurance and Financial ServicesPage 1 of 1Use this address for your application filing and all Continuing Education correspondence:Payment Sheet for Continuing Education.

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How to fill out the MI FIS 0407 online

The MI FIS 0407 is a payment sheet required for continuing education course or provider applications in Michigan. This guide provides a detailed walkthrough to help users complete the form accurately and efficiently.

Follow the steps to complete the MI FIS 0407 payment sheet online.

  1. Click the ‘Get Form’ button to access the MI FIS 0407 payment sheet. This allows you to obtain and fill out the form online.
  2. Begin by entering your continuing education provider name and your 4-digit Michigan provider number to identify your organization.
  3. Fill in the quantity and corresponding amounts for each fee type, including new provider authorization fees and new course filing fees.
  4. Include your Federal Employer Identification Number (FEIN) or Social Security Number if filing as an individual. Ensure this number matches what you provided in your application.
  5. Calculate the total amount due by summing all applicable fees and clearly indicate this total on the form.
  6. Once you have completed all entries, review your information for accuracy to avoid processing delays.
  7. You can then save your changes, download, print, or share the completed MI FIS 0407 payment sheet as required for submission with your application.

Take the next step and complete your documents online for a smooth application process.

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