Continuing Education June 24, 2021 Email Address*First Name*Last Name*Type of CE*CLECMECEAddress 1*Address 2City*Resident State*FloridaTexasZip *Mobile Phone*I understand that if my name & license information is incorrect or does not exactly match my license record, the state system will not record my CE credits.*Yes, I understand and want CENo, this doesn't apply to meDesignated state for filing CE credit. (Do not select a state if you do not want CE credit)*FloridaTexasI don't want CEREQUIRED FOR CE CREDIT: Enter your ADJUSTER LICENSE NUMBER for your designated CE state. (If not applicable, enter N/A)*I understand I must register under my own name and unique email address to be eligible for CE credit. I cannot use the same login or email address as any other course takers.*PhoneThis field is for validation purposes and should be left unchanged.