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)

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Fields marked with a * are required.

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COURSE INFORMATION

Date of the Course *

Name or Location of Event

Topic

In Person Onsite Live Webinar Live Teleconference How did you attend? *

If attended in-person, what city was the course?

Accountant Adjuster Agent Attorney CCMC CDMS CRCC Nurse Certificates Only (no ce) Seeking certificate for what license type(s)? *

Are you seeking a copy of a previously issued certificate?

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INDIVIDUAL SEEKING CERTIFICATE

Attendee's First Name *

Attendee's Last Name *

Attendee's Company

Attendee Email *

Attendee Phone

Memo or Special Instructions

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