Prelicensing Continuing Education Forms
Education Forms - The following Prelicensing/Continuing Education forms are 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 copy of the Adobe Acrobat Reader can be downloaded from our 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 446-4A | 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 |
|
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 |
|
NAIC Uniform Continuing Education Reciprocity (CER) Course Filing Form |
|
| Provider Summary | Parties Interested in the Prelicensing & Continuing Education Program Provider Summary Notice |
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 | LIC 446-13 |
| Stipulation to Maintain Records Outside of California |
LIC 446-32 |
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.
