hereby submit copies of documents reflecting my attendance at or participation in sufficient
courses to fulfill the continuing education requirements for license renewal pursuant to NRS
636.260 and Board Policy Number 5. I completed the following courses between March 1st
of the current license period and the date entered below:
I have provided my OETracker report (or CE attendance certificates for any coursework not
included in the OETracker report, or both) in support of my total CE above. I swear the
foregoing information is true under the pains and penalties of perjury.