Get Continuing Education Provider Approval Application

Filling out the Continuing Education Provider Approval Application online is a straightforward process that requires attention to detail. This guide offers comprehensive steps to help you navigate each section of the application efficiently and effectively.

Follow the steps to complete your online application successfully.

1. Click the ‘Get Form’ button to obtain the application form and open it in your online editor.
2. In Section I, Application Type, select either 'Continuing Education Course Approval' for new applications or 'Continuing Education Course Renewal' for renewing an existing course.
3. Complete Section II, Applicant Information, by entering your full name as it appears on your social security card, your organization or company name if applicable, your provider approval number, and current course approval number if renewal is requested.
4. In Section III, Course Information, specify the course title, delivery method (classroom or internet/distance learning), and the course components, including the number of hours allocated to each. Ensure your total number of education credit hours is accurate.
5. Continue to Section IV, Supporting Documentation. Attach the required documentation, ensuring all supporting materials meet the outlined requirements. This section is critical for the application to be considered complete.
6. Finally, complete Section V, Affirmation by Written Declaration, by signing and dating the application to confirm that the information provided is true and accurate.
7. Review all sections for completeness and accuracy, then save your changes. You can download, print, or share the completed form as necessary before submission.

Start filling out your Continuing Education Provider Approval Application online today!