LIC 9142A - Roster of Participants

Form LIC 9142A is used to maintain a roster of participants in training courses within the Administrator Certification Program in California. Course providers complete this form to document participant information, including names, contact details, course dates, and other relevant data. This roster helps track attendance, monitor completion of educational requirements, and maintain accurate records of individuals who have participated in approved courses. By completing this form, course providers ensure proper record-keeping and facilitate the monitoring and verification of participation in the Administrator Certification Program.