Fill - Free fillable ANNUAL APPROVED PROVIDER REPORT PDF form 2026

1. Click ‘Get Form’ to open the Fill - Free fillable ANNUAL APPROVED PROVIDER REPORT PDF form in the editor.
2. Begin by entering the participant's name in the designated field, ensuring you include the last name, first name, and middle initial.
3. Input the Illinois Educator Identification Number (IEIN) in the corresponding field to verify your identity.
4. Fill in the title of the professional development activity attended, followed by the date(s) of that activity.
5. Enter the name of the approved provider as listed in ELIS, along with their RCDT code. Remember, this code is essential for validation.
6. If applicable, provide details about any third-party presenter or organization authorized by the approved provider.
7. Indicate the number of professional development hours awarded for your participation.
8. Finally, ensure both signatures are completed: one from an approved provider's representative and one from you as a participant. Don't forget to date these signatures.
9. Once all fields are filled out accurately, save your document to your hard drive for future updates or click on the print button to obtain a physical copy.

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