Insurance Continuing Education (CE)

     

 

 

Contact us at: 1-800-345-5669

 

Monitor Request


Back ]

STEPS MONITORS NEED TO TAKE

 

    1.) Make sure that either yourself or the examinee has the appropriate affidavit available before taking the final examination.
    2.) Verify the identity of the examinee with a photo ID.
    3.) Have examinee fill out the affidavit if so requested.
    4.) Sign affidavit after verifying examinee had no outside assistance with the final examination.
    5.) Fax the signed affidavit to:

Broker Educational Sales & Training, Inc.
FAX number: 1-727-372-7585

 

          You may also mail the affidavit back to Broker Educational Sales & Training, Inc. at:
 

Broker Educational Sales & Training, Inc.
Attn. Self-Study Department
7137 Congress Street
New Port Richey, FL 34653

 

As a monitor, you will need to inform the individual who is taking the examination that credit for the course will be submitted once Broker Educational Sales & Training, Inc. has received the monitor affidavit and verified that you, the monitor, has witnessed the individual taking the final examination.

You may want to print this page for fax and/or address information before filling out the form below.

Thank you,
Broker Educational Sales & Training, Inc.


 

ALL FIELDS ARE REQUIRED.

THIS INFORMATION IS NOT THE AFFIDAVIT.
DOWNLOAD AFFIDAVITS FROM PRIOR PAGE.

 

Please fill in this form to receive the Username and Password to unlock the examination:


First and Last Name of Monitor:
 

 (For a name with an " ' " (apostrophe) please enter a space between names. [i.e. O'Brian = O Brian])
Monitor Contact Telephone Number:
 

(Format: 1231231234 - No spaces between digits)
Monitor Email Address: 
 

 
Name of Individual Taking Final Examination:
 

 
Relationship to Individual Taking Final Examination:
 

(Supervisor, Manager, State Monitor, Other)