CE Extension Request


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  1. General Instructions. Licensees on active status wishing to obtain an extension of time to satisfy the continuing education requirement must make application on this form. The extension request must be received by the Commission on or before June 10 of the license year for which the extension is sought for consideration of the request, including review of all supporting documentation and such verification of information as may be necessary. Applicants are referred to Commission Rule 58A.1709 regarding “Extensions of Time to Complete Continuing Education,” which is reprinted on page 2 of the printable form.

MARCH 2020 UPDATE: STATE OF EMERGENCY IN RESPONSE TO COVID-19 AND ATTENDANCE AT POSTLICENSING AND CONTINUING EDUCATION COURSES

On March 10, 2020, Governor Roy Cooper declared a State of Emergency for the State of North Carolina based on the public health emergency posed by COVID-19. Licensees who are at high risk of severe illness from COVID-19, have recently traveled to any area currently listed by the CDC as having an elevated risk, or are sick or symptomatic, are strongly advised to not attend classroom-based education courses. Extensions of the education deadlines may be requested in such cases.


Personal Information


Circumstance Details


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Include with this form objective evidence of the incapacitating illness or other circumstance such as a written statement from an attending physician or other authoritative documentation regarding the circumstances described in the licensee’s request. *
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Date Signed

8/11/2020

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This form is not meant to be printed. If you have already completed the form please use the submit button at the bottom to send the form directly to the Commission.