CE Course Submission Form

NEW REQUIREMENT AS OF 1/1/15 Instructor Qualification Form 446-4 (7/14) -- This is a new version of the DOI Instructor Qualification Form. DOI now requires instructors to provide supporting documentation of qualifications. Please see page two of the form for details. All instructors must complete this form, regardless if having previous CAHU CE experience. List of Instructor(s)/Subject Matter Expert(s) Form 446-4A (7/14)-- DOI is now requiring all instructors provide their SSN for a DOI background check. PLEASE SEE CE QUICK REFERENCE FOR FORMS. Complete the forms and mail original forms, with required documentation to: CAHU, 2520 Venture Oaks Way, #150, Sacramento CA 95833 Once CAHU receives the forms we will file the use of the course for the chapter. Upon receipt of this form, CAHU will email the requestor a confirmation that the course has been filed with the California Department of Insurance. If you do not receive a confirmation within 48-72 hours of your submission, please contact info@cahu.org.
CAHU will email you a confirmation when the course is submitted to DOI. Please Email Info@CAHU.org If you do not receive confirmation within 48 - 72 hours of filing this request

Course Location

Date of Class (Day 1)

Date of Class (Day 2)

Date of Class (Day 3)

Upon receipt of this form, CAHU will email the requestor a confirmation that the course has been filed with the California Department of Insurance. If you do not receive a confirmation within 48-72 hours of your submission, please contact info@cahu.org.
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