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Register August 2009 No. 644
Chapter Ins 26
APPENDIX 5
CERTIFICATE OF PRELICENSING EDUCATION
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
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.