Wis. Admin. Code Office of the Commissioner of Insurance, ch. Ins 26, app 5
Current through October 28, 2024
I hereby certify that ( name) has completed a prelicensing educational course which complies with the requirements in ch. Ins 26, Wis. Adm. Code, for the insurance line of (life) (accident & health) (property) (casualty) (Personal Lines P&C). The last day of class or completion of the required examination(s) for section B of the identified course(s) was (date) . I have verified the identification of this applicant by using:
*A Wisconsin driver's license
*A Wisconsin identification card
*Other (please describe)
Authorized Representative
Date Name of Program
Wis. Admin. Code Office of the Commissioner of Insurance, ch. Ins 26, app 5