CE AUTOMATIC FINE PAYMENT VOUCHER - Texas …
FIN519 | 0922
CE Automatic Fine Payment Voucher
This form is to be mailed with your CE fine payment. If you believe that you qualify for a fine exception, fill out form FIN517 for consideration prior to sending in payment as penalty fines are non-refundable under the Texas Administrative Code.
Calculating Your Automatic Fine For each hour deficient, send $50, up to a maximum fine of $500. License terms ending prior to 06/01/2018 do not have a maximum fine and may exceed the $500 limitation.
To determine your CE deficiency, go to texas. Click on "Look up education courses/credit," to view your CE transcript online.
Your Information Please complete the following:
Name of Licensee: _______
Email Address of Licensee:
License Number:
Amount of Full Fine Enclosed:
Signature
Date
Mailing Instructions: Make checks or money orders payable to "Texas Department of Insurance."
Via USPS send to:
Agent and Adjuster Licensing, MC-CO-AAL Texas Department of Insurance PO Box 12069 Austin, Texas 78711-2069
Via FedEx and UPS send to: Lockbox Department, MC-CO-AAL Texas Department of Insurance 208 E. 10th Street Austin, Texas 78701
Accounting: Use 462 and CRE100
Please return to Agent and Adjuster Licensing Administrative Operations, Continuing Education, mail code CO-AAL.
CO-AAL
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