Educational Provider Information and Forms

If you are a continuing education provider or wish to apply to be one, the following forms are available.

NOTE: Julie Schroeder is now in the Permitting part of the Division and Sara Smiley has taken over the Licensing and continuing education.


Continuing education previously approved course/provider -

preapproved editable7-2019.pdf

Continuing education to be approved from a new provider or adding a new instructor to be approved -

 cesalongform editable 7-2019.pdf

Provider Instructions -

 Instructions to CEU Providers.pdf  (UPDATED)

Provider Roster -


Provider Numbering Example



For the time being you can submit/attach all correspondence (class applications, questions, rosters, etc.) here:

This email goes to and Sara.