Coroners’ Education Board Proposal For Course Approval

Continuing-education providers can use this form to submit a course for review by the Pennsylvania State Coroners’ Education Board. Provide your course details and supporting materials, and the Board will evaluate your proposal for approval.

Name of Course

Total Hours

Cost

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date(s) of Course

Presenter Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Person to enroll in course

First Last

Telephone Number of Contact Person

Course Documents

Please upload course agenda(s) as well as any supporting documents required for approval of this course

Drop files here or

Max. file size: 256 MB.

Submitted by:

First Last

Email Address

Date

Telephone Number

Attorney General Sunday

Office of Public Engagement

Do Not Call List

Home Improvement Contractor Registration

Coroners’ Education Board Proposal For Course Approval