Form 8498 (Rev 5-2014) Continuing Education Provider Application and Request for Provider Number - i-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting the type of application you are submitting: New Application, Renewal, or Request to add new program(s). Ensure you check the appropriate box.
3. Fill in the CE Provider Name and Point of Contact Information. Include details such as the provider's EIN or PTIN, mailing address, phone number, and email address.
4. In the Provider Information section, indicate your CE Provider Status by checking one of the options provided. Attach any required documentation as specified.
5. Complete the CE Provider's Targeted Audience section by checking all applicable categories that apply to your programs.
6. Provide detailed Program Information for each program you wish to offer. Include program name, credit hours, description, targeted audience, and delivery method.
7. If renewing programs from a prior year, list their program numbers and names in the Renew Program(s) section.
8. Review all entries for accuracy before signing and dating the form at the bottom.

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