Continuing Education (CE) Submission

Licensee Information

First Name*:

Middle Name:

Last Name*:

License Number (Numerals only)*:

Email:

Please upload the continuing education documentation by clicking the “Choose Files” button and uploading the documents. When uploading documents, please note: Files can only be .PDF or Image file types (.pdf, .png, .bmp, or jpeg). File size must be no more than 5 MB. Files must be legible and cannot be password protected.

Upload Form (5 MB Limit)*:

Selected files: