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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 446-3 Course Approval Application

LIC 446-4 Instructor Qualification 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 446-40 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

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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
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

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Frequently Asked Questions If you need further assistance, please call CDI's Producer Licensing Bureau'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. 

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