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Form Name:
Continuing Education (CE) Provider Reinstatement Application (Form ID: CE_PRIA-0)
Effective Date:

Who should submit this application?

Expired CE providers re-applying for a license.

Course applications may be submitted for review after the provider license has been approved.

Helpful tips for filling out this application:

  • Fees are payable using a check or money order and must be submitted with the application.
  • Include all required attachments with the application.
  • Use this checklist to ensure your application is complete.
Related Terms:
Applications, Continuing Education (CE) Provider