Get Mn Pre-license Course Exam Proctor Affidavit Student/licensee Name And Certification 2023-2025

This guide provides detailed instructions for users on how to complete the MN Pre-License Course EXAM Proctor Affidavit Student/Licensee Name and Certification online. By following the outlined steps, you can ensure that all necessary information is accurately provided for a smooth submission process.

Follow the steps to successfully complete the affidavit online.

1. Click 'Get Form' button to obtain the form and open it in your preferred editing tool.
2. Begin filling out the 'Name of Course &/or Exam' section by entering the title of the course or exam you have completed.
3. Enter the 'Date & Time of Course &/or Exam Completion.' Make sure to input the exact date and time when you completed the course.
4. Fill in the 'Company & Address' where you completed the course or exam, including the city, state, and zip code.
5. Complete the 'Student’s Full Legal Name, License Number, & DOB' section. Provide your full legal name, license number, and date of birth. Ensure that the information is legible.
6. If your business address is different, fill in the 'Business Address' along with the corresponding city, state, and zip code. If you have a different mailing address, provide that information as well.
7. Input your 'Daytime Phone' and 'E-mail' for contact purposes.
8. In the certification statement, ensure you check the applicable box stating you completed the course without assistance, and then proceed to your signature and date.
9. Next, provide 'Proctor Name and Certification.' Fill in the proctor’s full legal name and specify any relationship to you.
10. The proctor must confirm that they are a disinterested third party and carefully check the required statements regarding supervision and assistance during the course and exam before signing and dating the form.
11. Lastly, fill out the proctor’s employer and job title, along with the business address, city, state, zip code, and contact information.
12. Review all entries for accuracy, save the changes, and prepare to print, download, or share the completed form as required.

Complete your MN Pre-License Course EXAM Proctor Affidavit online today!