I certify under the penalty of perjury that I have verified the identification (including a photo ID and producer license number) of the said producer named below.  The producer completed the examination independently and without the assistance of any course materials, other source materials, advance review of the examination, or from any persons.  I certify that the exam answer sheet and all scratch paper given to the examinee were returned and no copy of the examination(s) was/were made by the examinee.  I also certify that I mailed/delivered the answer sheet and/or all other required materials to the vendor within two business days of the exam date.  I hereby certifiy that I have not made or retained copies of any examination or work papers for further distribution.

 

Further, I certify that I am a Disinterested Third Party and not someone who is: (A) a minor; (B) a relative of the producer; (C) an immediate supervisor/manager of the producer, or (D) a person with an economic or other interest in assuring the successful outcome of the examination.

 

NOTE:  Employment by the same company or working for the same employer does not mean a person has "an economic or other direct interest in assuring the successful outcome of the examination." For example: a co-employee or co-worker of the producer taking the competency examinations may administer the examination so long as the other requirements of this subparagraph are met and such co-employee or co-worker does not work on a regular basis with the producer in marketing or sales capacity the examinee is not related.

 

I certify under the penalty of perjury that I took the examination(s) independently and without the assistance of any course materials, other source material, advance review of the examination(s), or from any persons.  I did immediately (within 24 hours), upon completion of the examination(s) return the exam, and answer sheet and all scratch paper to CE Course Sponsor (if applicable).  No copy of the examination(s) was/were made.