Continuing Education Exemption/Extension

License Number (NPN)

Licensee Name

Email Address

I am requesting the following:

Permanent exemption based on age 65 and 15 years of licensure.

You must be at least 65 years of age and have been continuously licensed as a Professional, Surety or Bail Bond Runner for at least 15 years.
Note that if a licensee is exempt for one license, he/she is exempt for all bail bond licenses held.

Attach a copy of proof of age (birth certificate, driver license, passport, etc.)

Extension for current compliance period based on medical condition or hardship* (These requests are considered on a case by cases basis.)

Attach statement from attending physician outlining disability.
Attach documentation including but not limited to records of hospitalization, medical treatment, disability or other supporting documentation.

Attach Supporting documents (see above)

Waiver for current compliance period based on military service* (These requests are considered on a case by cases basis.)

Attach copy of deployment orders from the United states Department of Defense.

Exemption Reason

*After review of documentation, the Bail Bond Regulatory Division may require additional documentation before making a final decision.

Do not assume an exemption, extension or waiver has been granted until you have received written notification from the Bail Bond Regulatory Division.

No fee is required for an exemption, extension or waiver.

Licensee Signature

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Bondsman Continuing Education Exemption/Extension

I am requesting the following: