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D2l2jhoszs7d12 cloudfront stateMichiganFIS 0407 (6 18) Department of Insurance and Financial

D2l2jhoszs7d12 cloudfront stateMichiganFIS 0407 (6 18) Department of Insurance and Financial-2026

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The document outlines the application process for continuing education course/provider approval in Michigan, managed by PSI Services. It includes instructions for completing the FIS 0407 Payment Sheet and FIS 0406 Application forms, payment details, and requirements for submitting applications for new providers and courses. The document emphasizes the importance of following specific guidelines to ensure timely processing and includes examples of fees associated with different types of applications.

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Click ‘Get Form’ to open the d2l2jhoszs7d12 cloudfront stateMichiganFIS 0407 (6 18) Payment Sheet in the editor.
Begin by entering your Continuing Education Provider Name, followed by your 4-digit Michigan provider number. Ensure accuracy as this information is crucial for processing.
Fill in the Quantity and Amount fields for each fee type. For example, if you are submitting a new provider application, enter '1' for the New provider authorization fee and its corresponding amount.
Complete the Federal Employer ID Number (FEIN) field accurately. This should match what you submitted on your application.
Review all entries for completeness and accuracy before saving your document. Once satisfied, proceed to email it to PSI at miinsurance@psiexams.com.

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Versions	Form popularity	Fillable & printable
2022	4.7 Satisfied (47 Votes)
2021	4.8 Satisfied (70 Votes)
2018	4.4 Satisfied (91 Votes)
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