Get Fl Dbpr Re-19 2018-2025

The FL DBPR RE-19 form is an essential document for individuals and organizations seeking approval as continuing education providers in Florida. This guide provides clear and comprehensive instructions on how to accurately fill out the form online to ensure a smooth application process.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to access the FL DBPR RE-19 application form and open it in your preferred editor.
2. In Section I, Application Types, select one of the application types: either 'Continuing Education Provider – Individual' or 'Continuing Education Provider – Organization'.
3. Proceed to Section II, Applicant Information. Fill in your last name, first name, middle name, title, and suffix as applicable. Ensure that the name matches the one on your social security card.
4. If applying as an individual, provide your Social Security Number. If applying as an organization, enter the Federal Employer Identification Number (FEID).
5. Enter your email address and phone number, ensuring they are accurate for correspondence.
6. Choose your status by selecting either 'Individual Seeking Provider Status' or 'Organization Seeking Provider Status'.
7. Indicate if you have been approved by any other board within the Department of Business and Professional Regulation and provide the approval number if applicable.
8. Complete your mailing address, including company name, street address, city, county, state, zip code, and country.
9. If your business location address differs from your mailing address, enter the business location details, including street address, city, county, state, zip code, and country.
10. In the Contact Information section, provide the authorized representative's last name, first name, middle name, primary phone number, alternate phone number, title, suffix, and primary email address.
11. If needed, you may provide optional additional contact information, including a fax number and alternate email address.
12. Finally, in Section III, affirm the written declaration by signing and dating the form. Ensure you print your name as well.
13. Once all sections are completed, review your application for accuracy. You may then save changes, download, print, or share your completed FL DBPR RE-19 form.

Begin your application process now by filling out the FL DBPR RE-19 form online.