Society of Registered Professional Adjusters Continuing Education
Course Completion Certification
Filing Instructions: All RPA Members requesting Continuing Education (CE) credits shall list each class, seminar, or course taken below. Please list date, location,
provider, etc for time spent on each CE requested. Although the RPA does not require you to submit documentation of each class taken, we suggest
you maintain a binder with the specific information on each item. This information is often required to support your status as an expert and, in some
occasions, compliance with CE’s by employers and state departments of insurance. If the class has been approved for a specific number of hours by
the RPA, CPCU, or a state, please list that information in the CE Approval column. At the bottom of this form, you are required to certify
completion of each CE requested by signing your name and dating this form. In order to maintain your RPA designation, you must provide
certification of 15 CE’s per year. In the event you are short CE’s in any one year, you may apply overage of credits either from a previous year or
one year forward. Annual dues are always required regardless of whether CE’s were submitted in full. Please e-mail signed document to
pmurphy@RPA-Adjuster.com or mail to RPA, PO Box
876, Downers Grove, IL 60515.
By digitally signing and dating this document, I hereby certify that I have attended and completed each of the classes, courses, or seminars listed above and request the Society of
Registered Professional Adjusters to apply CE’s as noted above.
