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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the date of the course session in the designated field. Ensure that you specify the total hours conducted, noting that a maximum of 8 hours is allowed.
  3. In the 'Students Seeking Credit' section, list up to 10 student names. Each name should be printed or typed clearly for accurate record-keeping.
  4. For students claiming continuing education credit, fill in their names and license numbers in the appropriate fields. Remember, only 2 students are permitted per session for this category.
  5. Indicate the number of hours you wish to claim for continuing education credit, keeping in mind that instructors can only receive a maximum of 8 hours per renewal period.
  6. Finally, provide your approved instructor name and number, followed by your signature and date to complete the form.

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