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Customized Continuing Education Certificate of Completion Form Template

Please complete the form below to retrieve your electronic Certificate of Completion.

By filling out this form you are verifying that your information submitted is an accurate record of your attendance.

CPE credits are granted based on a 50-minute hour. Please remember to round down to the nearest half-hour if applicable.
This is in accordance with the standards of the North Carolina State Board of CPA Examiners rules and The National Registry of CPE Sponsor agreement.
Attendee Full Name:*
Event Code:
Event Date:
Event Facility:
Event Title:
Select | Minutes & Hours (You Attended)*
- 50 Minutes = 1.0 Hour
- 100 Minutes = 2.0 Hours
Enter | Minutes (You're Claiming)*
**please enter the minutes you selected above**
Please enter a number from 50 to 100.
Enter | Hours (You're Claiming)*
**please enter the hours you selected above**
Please enter a number from 1.0 to 2.0.
Please enter the same email that you used to check into the event on the day of the course.
Your Electronic Certificate of Completion will be emailed to this email address.
Email Address*
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