Form CPE07 "Student Roster" - South Carolina

What Is Form CPE07?

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

Form Details:

  • Released on July 1, 2017;
  • The latest edition provided by the South Carolina Department of Consumer Affairs;
  • 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 fillable version of Form CPE07 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Consumer Affairs.

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Download Form CPE07 "Student Roster" - South Carolina

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Student Roster
Provider: ________________________________________________ CPE Course Identification No. ______________
Course Title: _____________________________________________________________________________________________________________
Course Location: ______________________________________________________________________________________________________
(Facility Name)
(City)
(State)
Course Date(s) & Time(s):
Date: ____________ Start Time: ____________
End Time: ______________
Date: ____________ Start Time: ____________ End Time: ______________
Date: ____________ Start Time: ____________ End Time: ______________
Signature of Provider/ Instructor(s): _________________________________________________________
Please Print
For Provider Use Only
Employer’s Name
Driver’s License No.
LEGAL Name & Title
Work Phone
Hours
Certificate
Rec’d
Number
& State of Issue
(Initial)
Within 5 days of course completion, send to:
07/17 Credit Counseling: CPE 07
SCDCA- Credit Counseling CPE, P.O. Box 5757, Columbia, SC 29250-5757
Student Roster
Provider: ________________________________________________ CPE Course Identification No. ______________
Course Title: _____________________________________________________________________________________________________________
Course Location: ______________________________________________________________________________________________________
(Facility Name)
(City)
(State)
Course Date(s) & Time(s):
Date: ____________ Start Time: ____________
End Time: ______________
Date: ____________ Start Time: ____________ End Time: ______________
Date: ____________ Start Time: ____________ End Time: ______________
Signature of Provider/ Instructor(s): _________________________________________________________
Please Print
For Provider Use Only
Employer’s Name
Driver’s License No.
LEGAL Name & Title
Work Phone
Hours
Certificate
Rec’d
Number
& State of Issue
(Initial)
Within 5 days of course completion, send to:
07/17 Credit Counseling: CPE 07
SCDCA- Credit Counseling CPE, P.O. Box 5757, Columbia, SC 29250-5757