1 Start 2 Complete Are you looking for a credit transcript or letter for a CE activity that you attended/completed prior to 2018, or an RSS transcript for sessions prior to July 1, 2018?Complete the following form in its entirety in order for us to best search our records and to assure the fastest processing of your request. Please note that we are not required to keep records for more than 6 years.Please allow 7 business days to process your request. If you have not received a response by then, please contact us at help@icep.wisc.edu Your Information First Name * Last Name * Degree(s) Mailing Address Phone Number: (###-###-####) * You can request a credit summary in two different ways:Enter in the DATE RANGE below for which you are requesting a credit transcript.-OR-Enter information about specific activities for which you are requesting a credit reprint. I would like to request a reprint by: * Date Range Specific Activity Date Range: Beginning Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2018201920202021202220232024 End Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2018201920202021202220232024 ACTIVITY INFORMATION Title of Activity * Date(s) of Participation Activity Type * RSS (Grand Rounds, M&M, Journal Club, etc.) Online Live Activity Other: Activity Type Other: Subject of Activity Additional Questions/Comments/Notes If you have another individual activity reprint request, please complete this form again. Email Address * Leave this field blank