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.
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.