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State of CaliforniaDepartment of InsurancePrelicensing Continuing Education Program Course Attendance Record and Verification Form LIC 4465 (Rev 10/2012)Curriculum and Officer Review Bureau Education.

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How to fill out the CA LIC 446-5 online

The CA LIC 446-5 form is used for recording and verifying attendance in prelicensing continuing education programs for insurance professionals in California. This guide provides step-by-step instructions on how to complete the form online, ensuring accuracy and compliance with state requirements.

Follow the steps to complete the CA LIC 446-5 form online.

  1. Click ‘Get Form’ button to obtain the form and open it in your editor.
  2. In the first section, input the course number and title. Ensure that the information matches your records for proper verification.
  3. Next, fill in the provider number and name. This information is essential for identifying the educational institution offering the course.
  4. Provide the class location along with the class date(s). This should include the complete address and date(s) the class was conducted.
  5. Move to the verification section, where the instructor must affirm their review of the attached attendance record sheets. Ensure the instructor's original signature and date are included.
  6. In the certification section, the provider director or subject matter expert must also certify the accuracy of the attendance records. Their signature, printed name, and date should be entered.
  7. Complete the course attendance record sheet by filling in the details for time-in and time-out, printed names, social security numbers (last four digits), and license numbers for each attendee. Each participant must sign for their attendance.
  8. If necessary, attach additional sheets for more attendees. Ensure all documentation is clear and legible.
  9. Finally, review the completed form for accuracy, then save changes, download, print, or share the form as needed.

Get started on completing the CA LIC 446-5 form online today!

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