"Continuing Education Course Report Form" - Delaware

Continuing Education Course Report Form is a legal document that was released by the Delaware Department of Insurance - a government authority operating within Delaware.

Form Details:

  • Released on May 1, 2010;
  • The latest edition currently provided by the Delaware Department of Insurance;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Delaware Department of Insurance.

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Download "Continuing Education Course Report Form" - Delaware

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CONTINUING EDUCATION COURSE REPORT FORM
COURSE PROVIDER INSTRUCTIONS
Each course provider is required to distribution a course report form/transcript to each licensee at the completion of a
course.
Providers are required to report continuing education credits electronically to the Delaware Insurance
Department at the following link:
https://sbs-de.naic.org/Lion-Web/jsp/login/ext_provider_login.jsp
LICENSEE INSTRUCTIONS
Licensees are required to maintain a copy of the course report form/transcript for their records.
Delaware License # : ________________________________________
National Producer Number (NPN) : ___________________________
General Credit
Course #
Ethic Credit
Provider #
LTC Credit
Completion Date
Flood Credit
Course Title
Licensee - Name
Provider - Authorized Signature
Revised 05/10
CONTINUING EDUCATION COURSE REPORT FORM
COURSE PROVIDER INSTRUCTIONS
Each course provider is required to distribution a course report form/transcript to each licensee at the completion of a
course.
Providers are required to report continuing education credits electronically to the Delaware Insurance
Department at the following link:
https://sbs-de.naic.org/Lion-Web/jsp/login/ext_provider_login.jsp
LICENSEE INSTRUCTIONS
Licensees are required to maintain a copy of the course report form/transcript for their records.
Delaware License # : ________________________________________
National Producer Number (NPN) : ___________________________
General Credit
Course #
Ethic Credit
Provider #
LTC Credit
Completion Date
Flood Credit
Course Title
Licensee - Name
Provider - Authorized Signature
Revised 05/10