Form KCE-4 "Course Certification" - Kansas

What Is Form KCE-4?

This is a legal form that was released by the Kansas Insurance Department - a government authority operating within Kansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2019;
  • The latest edition provided by the Kansas Insurance Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form KCE-4 by clicking the link below or browse more documents and templates provided by the Kansas Insurance Department.

ADVERTISEMENT
ADVERTISEMENT

Download Form KCE-4 "Course Certification" - Kansas

Download PDF

Fill PDF online

Rate (4.7 / 5) 16 votes
KANSAS INSURANCE DEPARTMENT
COURSE CERTIFICATION
PRODUCER LICENSING DIVISION
KANSAS CONTINUING EDUCATION
1300 SW Arrowhead Rd
FOR INSURANCE AGENTS
TOPEKA KS 66604
(785) 296-7862 (voice)
(785) 368-7019 (fax)
KID.Licensing@ks.gov
Name of Agent
NPN or SSN
Residence Street Address
City
State
Zip Code
I,
(Instructor or Administrator)
certify that the individual named herein has successfully completed the following educational course as approved by the Kansas
Insurance Department.
Course Title:
Course Date:
Kansas Course ID #
Number of Credit Hours Earned:
Name of Provider:
Date
Signature of Instructor or Provider Administrator
Only this form or another Certification approved by the Commissioner will be accepted as evidence of completion of an approved
course.
The agent must submit a copy of each Course Certification to the Insurance Department.
Every licensed agent who is an individual must biennially complete the following credit hours of approved education:
Agents holding property or casualty qualifications, or both -- 12 hours - 1 hour must be ethics, only 3 hours of agency
management is allowed.
Agents holding life, accident and health, or variable contracts qualifications -- 12 hours - 1 hour must be ethics, only 3
hours of agency management is allowed.
Agents holding crop only qualifications -- 2 crop only hours
Agents holding title only qualifications -- 4 title only hours
THIS FORM MAY BE REPRODUCED BY THE COURSE PROVIDER
KCE-4 (Rev. 11/19)
KANSAS INSURANCE DEPARTMENT
COURSE CERTIFICATION
PRODUCER LICENSING DIVISION
KANSAS CONTINUING EDUCATION
1300 SW Arrowhead Rd
FOR INSURANCE AGENTS
TOPEKA KS 66604
(785) 296-7862 (voice)
(785) 368-7019 (fax)
KID.Licensing@ks.gov
Name of Agent
NPN or SSN
Residence Street Address
City
State
Zip Code
I,
(Instructor or Administrator)
certify that the individual named herein has successfully completed the following educational course as approved by the Kansas
Insurance Department.
Course Title:
Course Date:
Kansas Course ID #
Number of Credit Hours Earned:
Name of Provider:
Date
Signature of Instructor or Provider Administrator
Only this form or another Certification approved by the Commissioner will be accepted as evidence of completion of an approved
course.
The agent must submit a copy of each Course Certification to the Insurance Department.
Every licensed agent who is an individual must biennially complete the following credit hours of approved education:
Agents holding property or casualty qualifications, or both -- 12 hours - 1 hour must be ethics, only 3 hours of agency
management is allowed.
Agents holding life, accident and health, or variable contracts qualifications -- 12 hours - 1 hour must be ethics, only 3
hours of agency management is allowed.
Agents holding crop only qualifications -- 2 crop only hours
Agents holding title only qualifications -- 4 title only hours
THIS FORM MAY BE REPRODUCED BY THE COURSE PROVIDER
KCE-4 (Rev. 11/19)