ࡱ>  @ bjbjʚʚ jY Y}||||###8$$$<$&2(4&)&)&) --\ .00<2<2<2<2<2<2<$>Rc@JV<Q.2s, -.2.2V<||&)&)M<444.2^|R&)&)0<4.20<44"4&)& ==#2j45T<0<4@2H@4||||@4@;.!/4/I0;.;.;.V<V<dh">4^h" STATE OF SOUTH CAROLINA DEPARTMENT OF CONSUMER AFFAIRS CONTINUING PROFESSIONAL EDUCATION (CPE) REPORTING FORM S.C. Code Ann. 37-7-101 through - 122. www.scconsumer.gov 803-734-4236 DO NOT FAX THIS FORM (An original, signed and notarized form is required) This form may be duplicated. Print legibly or type information requested on the form in its entirety. This form must be postmarked by December 1st. Each person submitting CPE must complete a separate Reporting Form.1.Company Name: FORMTEXT      2.Company License Number: FORMTEXT      3.Your Legal Name: FORMTEXT       FORMTEXT       FORMTEXT      (Last)(First)(Middle)4.Business Relationship or Title: FORMTEXT      5.Counselor License Number (if applicable) FORMTEXT      6.Work Telephone Number:( FORMTEXT    )  FORMTEXT    - FORMTEXT     7. Fax Number:( FORMTEXT    )  FORMTEXT    - FORMTEXT     8.E-Mail Address: FORMTEXT      9.Course Information (Attach additional page(s) as necessary).ProviderCourse TitleDate(s) AttendedHours Claimed1. FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      2. FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      3. FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      4. FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      I swear or affirm and certify that I have completed and/or reviewed all information on this form and that all information contained herein is true, current and correct. I further certify that I understand that giving false information constitutes cause for denial or revocation of the application and subjects me to criminal prosecution for perjury. I acknowledge that I have a duty and agree to update and correct this information as it changes. 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Code 37-7-101 through  122, a criminal records check is required for all applicants. FORMTEXT      Signature Type or Print your name SWORN TO AND SUBSCRIBED before me this ______ day of ____________________, 20__ _________________________________________ Notary Public For ___________________________ My Commission Expires: ____________________The South Carolina Freedom of Information Act may require the Department of Consumer Affairs to release this form as a public record; however personal identifying information will be released only if required by law.     PAGE  CPE Reporting Form Rev. 08/08 Page  PAGE 1 of  NUMPAGES 2 Mailing Address P.O. 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