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CA Department of Insurance
CA Department of Insurance
CA Department of Insurance

12 Hours of Study on Ethics and the California Insurance Code and Continuing Education Forms

Education Forms - The following 12 Hours of Study on Ethics and the California Insurance Code /Continuing Education forms are available at the following link: Licensing Bureau Education Forms Alphabetical Listing


12 Hours of Study on Ethics and the California Insurance Code / Continuing Education Forms

 

Form Number PDF Format

Form Name

LIC 001B Bail Course Application/Renewal Application
 
LIC 446-2 Provider Certification/Renewal Application
 
LIC 446-3 Course Approval Application
 
LIC 446-4 Instructor Qualification Form
 
LIC 446-4A  List of Instructor(s)/Subject Matter Experts Form
 
LIC 446-5 Course Attendance Record and Verification Form
 
LIC 446-8 12-Hours of Study on Ethics and the California Insurance Code Education Requirement
LIC 446-9 California Long-Term Care, California Partnership, Annuities, and Workers' Compensation Continuing Education Requirements
 
LIC 446-12 Class Presentation Schedule
 

LIC 446-13

Provider Roster

LIC 446-32  Stipulation to Maintain Records Outside of California
 
  
LIC 446-38 Online Provider Course Renewal Letter
 
LIC 446-40 Out-of-State Provider Jurisdiction Agreement
 
LIC 446-42 Education Provider - Change of Address
 

Information and Filing Form

NAIC Uniform Continuing Education Reciprocity (CER) Course Filing Form
 

Provider Summary Parties Interested in the 12 Hours of Study on Ethics and the California Insurance Code and Continuing Education Program Provider Summary Notice

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Producer Licensing Bureau Education Forms-Alphabetical Listing in interactive PDF format

Form Name

Form Number PDF Format

Bail Course Approval/Renewal Application
 
LIC 001B 
California Tax Qualified Long-Term Care, California Partnership, Workers Compensation Continuing Education Requirements
 
LIC 446-9     
Class Presentation Schedule
 
LIC 446-12
Course Approval Application

  
LIC 446-3
Course Attendance Record and Verification Form
 
LIC 446-5
Education Provider - Change of Address
 
LIC 446-42
Instructor Qualification Form
 
LIC 446-4 
NAIC Uniform Continuing Education Reciprocity (CER) Course Filing Form Information Filing Form
Online Provider Course Renewal Letter LIC 446-38
Out-of-State Provider Jurisdiction Agreement
 
LIC 446-40

Parties Interested in the 12 Hours of Study on Ethics and the California Insurance Code and Continuing Education Program Provider Summary Notice
 

Provider Summary
12 Hours of Study on Ethics and the California Insurance Code Education Requirements LIC 446-8
Provider Certification/Renewal Application
 
LIC 446-2
Provider Roster LIC 446-13
Stipulation to Maintain Records Outside of California
 
LIC 446-32

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Frequently Asked Questions 

If you need further assistance, please call the Curriculum and Licensing Background Section’s Education Unit at (916) 492-3064. Please be sure to include your name, telephone number, license number and e-mail address in all correspondence with the Department.

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