Documentation of participation in courses, classes, seminars, workshops, and distance learning courses as described in Mid 405.02 shall be:

1. (a) For academic courses:

   1. (1) A photocopy of an official transcript showing the date of the course and its successful completion;
   2. (2) Either the description of the course copied from the institution's catalogue or the course syllabus; and
   3. (3) The midwife's written statement of the number of hours that the midwife participated in the course;

2. (b) For all other courses, classes, seminars, workshops, and distance learning courses, a photocopy of a certificate or other confirmation of attendance or participation showing:

   1. (1) The midwife's name;
   2. (2) The name of the course, class seminar, or workshop;
   3. (3) The name of the accrediting agency from the list in Mid 405.02(a)(2);
   4. (4) The beginning and end dates(s) of the course, class, seminar, workshop or distance learning course; and
   5. (5) The number of contact hours credited by the provider or sponsoring entity; and

3. (c) For journal study, a photocopy of a certificate provided by the journal study program sponsor or provider showing:

   1. (1) The midwife's name;
   2. (2) The name of the journal study program;
   3. (3) The name of the accrediting agency from the list in Mid 405.02(a)(2);
   4. (4) The date that the certificate was issued; and
   5. (5) The number of contact hours credited by the journal study program sponsor or provider.

Source. #8840, eff 3-13-07, EXPIRED: 3-13-15 New. #11095, INTERIM, eff 5-12-16, EXPIRED: 11-8-16 New. #12040, eff 11-10-16