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Ce Automatic Fine Payment Voucher Texas Department of Insurance  Form

Ce Automatic Fine Payment Voucher Texas Department of Insurance Form

Use a Ce Automatic Fine Payment Voucher Texas Department Of Insurance template to make your document workflow more streamlined.

Enclose 50. 00 up to a maximum of 500. 00 per each license type held. Please send this form and payment to one of the addresses listed on Page 2 of this form* To Number of Hours Deficient X 50. 00 Fine per Hour Licenses Held Requiring CE Automatic Fine Total Maximum of 500. 00 per License Held NOTE If you believe the fine to be inaccurate due to an error in your transcript or believe you should receive an extension or waiver of your CE requirements please address these issues see next page...
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