Get Ca Lic 446-5 2021-2026

Filling out the CA LIC 446-5 form online is a essential step for documenting course attendance in California's prelicensing continuing education programs. This guide provides clear instructions on how to accurately complete each section of the form.

Follow the steps to effectively fill out the CA LIC 446-5 form

1. Press the ‘Get Form’ button to access the CA LIC 446-5 form and open it in the designated editor.
2. Begin by entering the course number and course title at the top of the form. Ensure that these details are accurate and reflect the course you are documenting.
3. Input the provider number and provider name, which identifies the organization offering the course.
4. Fill in the class location details, including the street address, city, state, and zip code.
5. Indicate the class date(s) to accurately reflect when the course took place.
6. In the verification section, the instructor or subject matter expert must confirm the attendance by providing their original signature and the date.
7. The printed name of the instructor or subject matter expert should be provided in the designated area.
8. The certification section requires the provider director or another subject matter expert to sign, print their name, and include the date.
9. Complete the course attendance record sheet by recording each participant’s time-in and time-out details along with their printed name and the last four digits of their social security number or their individual insurance license number.
10. After all sections are completed, review the form for accuracy. You may then save changes, download, print, or share the filled-out form as necessary.

Complete your documentation easily by filling out the CA LIC 446-5 online now.