This is a fee-based online CEU. You may review the course; print out a pdf copy to review off-line and take the quiz online. However, if you pass it, you will asked to pay $50 for successfully passing the course. Once you have paid the fee, your hours/units will be reported to the proper accrediting agencies. Also, once you have paid, a certification of completion will be made available to you online to print out for your records. Good luck and thank you for your support.