Registration Form

Webinar is approved for 2 hours of CE credit in all states
Webinar start time is Eastern time
Registration ends at 4 p.m. Eastern time the business day before the webinar
You can only receive CE credit for this course ONCE per compliance period, regardless of format
Do NOT use this form to change or reschedule a previously submitted registration – email us directly for changes or transfers
Webinar dates with available seats are:
- November 9
- December 8

After you submit this form, you will receive a confirmation and then be taken to a page where you must enter your name and email address to receive your webinar login credentials. You will receive a registration confirmation AFTER you complete that 2nd step.

Who is your local Enterprise representative? *

If you don't know the name of your rep, tell us how you learned about the webinar.

Have you attended this webinar before? If so, when? *

In most states, you cannot take this course two or more times for CE credit within the same compliance period. In some states, you cannot take it twice within a certain period of time, such as twice within 24 months.

2021 Webinar Dates with available seats (all times shown are EASTERN) *

11/09 at 10 a.m. (Tue)
12/08 at 2 p.m. (Wed)

Do NOT register for more than one date. If you need to change the date after you registered, please email us to have your registration transferred.

Do you need CE credit for this webinar? *

Student Type *

Licensed producer
Licensed adjuster
Unlicensed
Enterprise associate

Your first name *

If you are licensed, as it appears on your insurance license.

Your last name *

If you are licensed, as it appears on your insurance license

Your email address - this CANNOT be shared by anyone also attending the webinar *

Only ONE person per email address can receive CE credit during a webinar. If multiple people login to the same webinar, on the same date, only the person linked to that email address will receive CE credit.

Your daytime phone number *

Your company name *

Your street address *

Your city *

Your state *

Your zip code *

Enter any special comments or requests here

ACKNOWLEDGEMENT: I have read the compliance policy and understand that CE credit is not automatically awarded. To receive CE credit for my attendance I must meet all compliance requirements of my state of licensure--which appear in the Compliance Policy stated at the bottom of this form. *

TIME ZONE CALCULATOR: To calculate the time difference between you and us, visit the following URL and enter your nearest city for your local time, and "Boston" for our local time. Be sure to enter the date of your class, as the time difference may change between now and then. URL: https://www.timeanddate.com/worldclock/converter.html

Name

After you submit this form, you will be taken to a page where you must enter your name and email address to receive your webinar login credentials. You will receive a registration confirmation AFTER you complete that 2nd step.

Compliance Policy

To receive continuing education credit for webinar attendance you must:

Use a unique email address that is not shared by anyone else attending the same webinar.
Login no later than 10 minutes after webinar start time with no additional time missed.
Be able to see the see and hear webinar at all times.
Respond to all attendance polls appearing on screen.
Respond to all verbal and typed messages from instructor and attendance monitors.

For more information about your state’s CE requirements, visit this page: https://www.adbanker.com/staterequirements.aspx?state=&line=CE