Continuing Education Units CEUs Form Author Unkown Date 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date at the top of the form. This is essential for record-keeping.
3. In the credentials section, check all applicable boxes that represent your qualifications (e.g., CCP, CMPM).
4. Fill in your personal information including name, address, city, state, zip code, and contact numbers.
5. Indicate whether your work or home information is new by checking 'Yes' or 'No'.
6. Complete the payment section by providing your credit card details or check information for membership renewal.
7. List how many CEUs you are submitting and how many are due. Include details about each continuing education activity in the provided sections.
8. Ensure all required documentation is attached before mailing the completed form to PHIA.

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