Certificate Request Form

Complete the following information to request a Certificate of Attendance. Once submitted, CEU Institute will review the course attendance records for eligibility to receive a certificate of attendance.  If eligibility is confirmed, a copy of your certificate will be emailed to the email address provided.

Requests for certificates 90 days past the course date will be subject to a $7.00 processing fee.  (This fee is to offset the cost of opening and investigating the course attendance record archives)

Fields marked with a * are required.

COURSE INFORMATION


INDIVIDUAL SEEKING CERTIFICATE


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I have been working with the CEU institute over the past few years. They have matched up medical providers to our needed topics and also have the medical providers work with us at Travelers to custom…
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