Skip to Main Content
Menu
Contact Us Search
CA Department of Insurance
CA Department of Insurance
CA Department of Insurance

Prelicensing Continuing Education Forms

Education Forms - The following Prelicensing/Continuing Education forms are now available in Adobe's Portable Document Format (PDF). To view and complete these PDF forms on your browser you must have Adobe Acrobat Reader on your computer. A free copy of the Adobe Acrobat Reader can be downloaded from our Free Document Readers web page. Additional forms will be added or revised periodically, so keep checking back. Prelicensing/Continuing Education Forms Producer Licensing Bureau Education Forms Alphabetical Listing

Prelicensing/Continuing Education Forms in interactive pdf format

Form Number PDF Format Form Name
LIC 001B Bail Course Application/Renewal Application
 
LIC 446-2 Provider Certification/Renewal Application
 
LIC 446-2A Prelicensing / Continuing Education Program 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 Prelicensing Education Requirements
 
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

Education Provider Online Programs
 

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 & Filing Form

NAIC Uniform Continuing Education Reciprocity (CER) Course Filing Form
 

Provider Summary Parties Interested in the Prelicensing & Continuing Education Program Provider Summary Notice
 

Back to Top


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 Prelicensing & Continuing Education Program Provider Summary Notice
 
Provider Summary
Prelicensing Education Requirements
 
LIC 446-8
Provider Certification/Renewal Application
 
LIC 446-2
Provider Roster

Education Provider Online Programs

LIC 446-13
Stipulation to Maintain Records Outside of California
 
LIC 446-32

Back to Top


Frequently Asked Questions If you need further assistance, please call CDI'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 California Department of Insurance. 

Google Translate