Use eLicensing for Faster Service
• New Applicant?
o Create an eLicensing account and apply online
o Follow system guide through the exam or exam/license
application
o Upload required documents/forms
o View education requirements already on file with DRE
o Pay the required fees
• Al
ready Have an eLicensing Account?
o Sign in to eLicensing
• Al
ready Applied or Licensed but Need an eLicensing Account?
o Create an eLicensing account
Thi
s short instructional video goes over the documents/forms you’ll need to
upload with your application. Having these materials together before you
begin the process will make filing the online application faster and easier.
Fi
ling online also makes it easier to track the progress of your application,
receive email notifications if DRE needs additional information, and for
DRE to contact you once the application is approved so you can schedule
your real estate exam.
DO NOT USE THIS FORM TO APPLY
FOR A SALESPERSON LICENSE IF:
•
YOU HAVE ALREADY SUBMITTED A:
SALESPERSON EXAMINATION APPLICATION (RE 400A)
SALESPERSON EXAM LICENSE APPLICATION (RE 435)
•
YOU HAVE APPLIED ONLINE THROUGH eLICENSING
(USING EITHER the RE 400A or RE 435 form)
•
YOU HAVE APPLIED IN THE LAST TWO YEARS
(USING EITHER the RE 400A or RE 435 form)
NOTE: If you have previously submitted a SALESPERSON EXAMINATION
APPLICATION (RE 400A) and passed your examination, you will need to create
or log in to your eLicensing account, view your exam results page and print
out a SALESPERSON LICENSE APPLICATION (RE 202) to apply for a license.
This checklist may be used for either the salesperson or broker
exam/license paper applications.
Read appropriate license instructions carefully (RE 435A
or RE 436A).
Application must list your legal name.
Items to be included in your packet are listed below. Check
Mail completed application package and fee to:
Department of Real Estate
651 Bannon Street, STE 503
Attn: Exams Section
Sacramento, CA 95811
BROKER APPLICANTS
Required documents …
RE 436 — Completed and signed by applicant.
Documentation to establish examination course
requirements have been met. Refer to RE 423 for current
requirements.
Documentation showing experience requirements
have been met. Please note that depending on your
circumstances, one or more of the forms listed below may
be required.
RE 226 — Documenting licensed experience.
RE 227 — Documenting non-licensed experience.
RE 228 — Two RE 228's are required if unable to
obtain broker's signature on RE 226 form.
RE 237 (See below.) — Completed by applicant and
live scan service operator.
License fee — Refer to RE 206 for current fees. Do not
send cash.
Cashiers’ check, check, or money order made payable
to: Department of Real Estate.
RE 909 — If paying by credit card.
SALESPERSON APPLICANTS
Required documents…
RE 435 — Completed and signed by applicant.
for Real Estate Principles, Real Estate Practice and/or
one other required course — not needed, if previously
submitted.
Effective January 1, 2024, any real estate practice
course submitted for purposes of qualifying to take
a real estate license exam, must include components
on implicit bias and fair housing. Additionally, the
fair housing component must include an interactive
participatory component where the applicant role plays
as both the consumer and the real estate professional.
RE 237 (See below.) — Completed by applicant and
live scan service operator.
License fee — Refer to RE 206 for current fees. Do not
send cash.
Cashiers’ check, check, or money order made payable
to: Department of Real Estate.
RE 909 — If paying by credit card.
Titles of forms referenced by number. All of these forms
www.dre.ca.gov.
RE 206 Exam & Licensing Fees
RE 237 Live Scan Service Request (Applicant)
RE 237B Fingerprint Information
RE 435 Salesperson Exam/License Application
RE 435A Salesperson Exam/License Instructions
RE 436 Broker Exam/License Application
RE 436A Broker Exam/License Instructions
RE 243 License Application Demographic Survey
(Voluntary)
RE 909 Credit Card Payment
GENERAL INFORMATION
the original. You should return the second copy to DRE and keep the third copy for your records.
Exam/License Application Checklist
RE 216B (Rev. 6/24)
GENERAL INFORMATION
Apply for the real estate salesperson examination and the real estate salesperson license
at the same time.
Do not submit photocopies of this form or fax this form.
Read enclosed instructions (RE 435A) before completing and submitting this application
to ensure that you understand the requirements and that the proper qualifying documentation
and exam/license fee are submitted. Note: Fees submitted with this application are not
refundable or transferable. If you fail to qualify for or pass the examination within two
EFFECTIVE DATE EXPIRATION DATE
FEES REQUIRED
Refer to the RE 206 for current Exam and License fees.
DATE EXAM PASSED
APPLICANT INFORMATION
1. SOCIAL SECURITY NUMBER OR INDIVIDUAL TAXPAYER ID NUMBER (REQUIRED – REFER TO PRIVACY NOTICE ON RE 435A) 2. BIRTH DATE (MM/DD/YYYY) (required)
3.
Have you ever applied for a California real estate exam?....................................................................................
If YES, list examination ID#. (If known)..................................................................................................................
YES NO
____________________________________
4. APPLICANT’S NAME (MUST BE YOUR LEGAL NAME) - LAST FIRST MIDDLE SUFFIX
5A. MAILING ADDRESS – STREET ADDRESS OR POST OFFICE BOX
5B. CITY 5C. STATE 5D. ZIP CODE
6
. Do you reside in California?..................................................................................................................................
If NO, an “RE 234” is required (Refer to RE 435A).
YES NO
7. CURRENT PHONE NUMBER (required)
( )
8. CURRENT EMAIL ADDRESS (required - PRINT CLEARLY)
9. BUSINESS CELL PHONE NUMBER
( )
10. BUSINESS TELEPHONE NUMBER
( )
11A. ARE YOU CURRENTLY SERVING IN THE U.S. MILITARY?
YES NO
11B. ARE YOU CURRENTLY MARRIED TO, IN A DOMESTIC PARTNERSHIP, OR IN A LEGAL UNION WITH AN ACTIVE
DUTY SERVICE MEMBER?
YES NO (see RE 435A for expedited processing instructions)
12A. HAVE YOU PREVIOUSLY SERVED IN THE U.S. MILITARY?
YES NO
12B. IF YES, WERE YOU HONORABLY DISCHARGED?
YES NO (see RE 435A for expedited processing instructions)
13. Do you now hold or have you ever held a California real estate license?............................................................
If YES, complete 13A, B, C, and D below.
YES NO
13A. TYPE OF LICENSE 13B. IDENTIFICATION NUMBER 13C. EXPIRATION DATE 13D. NAME ON LICENSE
EXAMINATION INFORMATION
14. When you are qualied for the examination would you prefer to use YES – Please notify me by email when I am qualied for the examination.
eLicensing to schedule your own examination date? NO – Proceed to item 15.
DRE USE ONLY
RESTRICTED VIOLATIONS
FORM LETTER / NOTES EXAM PROCESSOR DATE PROCESSED
SENDER/DATE SENT LICENSE PROCESSOR DATE PROCESSED
DRE USE ONLY DRE USE ONLY
LIC. ID
EXAM ID
RE 435 (Rev. 6/24)
DRE RECEIVED DATE
DRE USE ONLY
SACRAMENTO FRESNO LOS ANGELES VICINITY A.M.
OAKLAND SAN DIEGO OTHER: P.M.
17. EARLIEST DATE YOU CAN TAKE EXAM
(mm) (dd) (yyyy)
15. EXAM AREA PREFERENCE 16. TIME PREFERENCE
I am requesting a reasonable
accommodation; RE 413 &
supporting documents are
attached.
RE 435 Page 2 of 3
BACKGROUND INFORMATION
Carefully read and provide detailed answers to questions 27-30. You must provide a "yes" or "no" response to all questions, and completely and accurately
provide the detailed information required. Attach additional sheets if you need more space. Each additional sheet must be signed by the applicant and
responsible broker, if any. Failure to disclose pertinent information may result in denial of your license application and/or delays.
27. HAVE YOU EVER HAD A DENIED, SUSPENDED, RESTRICTED OR REVOKED BUSINESS
OR PROFESSIONAL LICENSE (INCLUDING REAL ESTATE), IN CALIFORNIA OR ANY OTHER
STATE? IF YES, COMPLETE ITEM 31.....................................................................................................
YES NO
28. ARE THERE ANY LICENSE DISCIPLINARY ACTIONS PENDING AGAINST A BUSINESS OR
PROFESSIONAL LICENSE YOU HOLD AT THIS TIME? IF YES, COMPLETE ITEM 31........................
YES NO
29. HAVE YOU EVER BEEN REQUIRED TO REGISTER AS A SEX OFFENDER PURSUANT TO THE
PROVISIONS OF SECTION 290 OF THE CALIFORNIA PENAL CODE OR ANY COMPARABLE LAW
OF ANY STATE OR GOVERNMENTAL UNIT? IF YES, COMPLETE ITEM 32.........................................
YES NO
30. HAVE YOU EVER BEEN ORDERED TO CEASE, DESIST AND/OR REFRAIN FROM DOING AN
ACT(S), OR FROM VIOLATING A LAW, RULE OR REGULATION BY, OR CITED FOR A BREACH
OF ETHICS OR UNPROFESSIONAL CONDUCT, BY AN ADMINISTRATIVE AGENCY OR
PROFESSIONAL ASSOCIATION IN CALIFORNIA OR ANY OTHER STATE?
IF YES, COMPLETE ITEMS 31-32................................................................................................................
YES NO
31. DETAILED EXPLANATION OF ITEM 27, 28 AND/OR 30. IF NEEDED, EXPLANATION MAY BE PROVIDED BELOW.
31A. TYPE OF LICENSE 31B. LICENSE ID NO. 31C. LICENSE EXPIRATION DATE 31D. STATE
31E. ACTION (revoked, etc.) 31F. DATE OF ACTION 31G. DATE ACTION TERMINATED 31H. CODE SECTION VIOLATED
32. ADDITIONAL INFORMATION: SPECIFY WHICH LINES YOU ARE REFERRING TO. ATTACH EXTRA SHEETS IF MORE ROOM IS NEEDED. EACH
ADDITIONAL SHEET MUST BE SIGNED BY APPLICANT AND RESPONSIBLE BROKER, IF ANY.
NAME OF APPLICANT
LICENSE INFORMATION
18. HAVE YOU USED ANY OTHER NAMES (I.E., MAIDEN NAME, FORMER MARRIED NAMES, AKA’S, ETC.)?
YES — IF YES, LIST ALL NAMES USED: ____________________________________________________________________________ NO
19. INITIAL WORKING STATUS (Must check one)
YES. PLEASE ISSUE MY LICENSE IN A WORKING STATUS WITH THE RESPONSIBLE
BROKER OR CORPORATION INDICATED ON ITEMS 20-26. WHEN MARKED "YES",
ITEMS 20-26 MUST BE COMPLETED IN FULL AND SIGNED BY RESPONSIBLE
BROKER/OFFICER.
NO. I DO NOT HAVE A RESPONSIBLE BROKER/CORPORATION AT THIS TIME.
PLEASE ISSUE MY LICENSE IN A NON-WORKING STATUS. DO NOT COMPLETE
ITEMS 20-26. LEAVE ITEMS 20-26 BLANK.
20. BROKER OR CORPORATION ID # DRE USE ONLY 21. BROKER/CORP. EXPIRATION DATE 22. BUSINESS TELEPHONE NUMBER
( )
23. RESPONSIBLE BROKER OR CORPORATION NAME (Print name as it appears on license – Do not list DBA’s)
24. MAIN OFFICE ADDRESS OF RESPONSIBLE BROKER OR CORPORATION
Broker Certication
compensation.
25. ORIGINAL OR ELECTRONIC* SIGNATURE (Responsible Broker / Licensed Ocer) DATE
@
26. PRINTED NAME OF LICENSED OFFICER (If corporation on line 23.)
* Electronic signature must comply with California Uniform Transactions Act (CA Civ. Code section 1633.1 et.seq.)
RE 435 Page 3 of 3
NAME OF APPLICANT
SALESPERSON EXAM & LICENSE CERTIFICATION
Exam — I hereby certify under penalty of perjury that I am aware of and meet all examination requirements as set forth in Section
I also understand that subverting the examination will subject me to the penalties
not violate any provisions of the Real Estate Law nor abuse the privileges of a real estate license. I understand that the Department
withdraw this application.
also understand that the Department may delay my renewal and toll the expiration date of my license pursuant to B&P Section 10177.
33. SIGNATURE OF APPLICANT (MUST BE ORIGINAL OR ELECTRONIC* SIGNATURE)
@
34. DATE
* Electronic signature must comply with California Uniform Transactions Act (CA Civ. Code section 1633.1 et.seq.)
GENERAL INFORMATION
This combination application may be used for the following
purpose:
• Applying for the real estate salesperson examination and
the real estate salesperson license at the same time.
For faster service, please use eLicensing to submit your
application.
The paper application must be mailed. DRE will
not accept a faxed RE 435. The paper RE 435 application must
have the original signatures. It must be mailed in; a faxed copy
will not be accepted.
The following fees must be included with your application (fees
are subject to change):
• The current examination fee and the current license fee.
Refer to form RE 206 for Exam and License fees.
• Note: Once the Department receives your application,
the fees for the examination and license are not
refundable or transferable to another application
pursuant to B&P Code section 10207.
• Fee valid for two years — A new application, fee, and
for and pass the examination during that two year period.
The following must be submitted before your license can be
issued:
• Transcripts for Real Estate Principles, Real Estate Practice *
and/or one other required course, if not previously submitted
(refer to Education Requirements).
submitted for purposes of qualifying to take a real estate
license exam, must include components on implicit bias
and fair housing. Additionally, the fair housing component
must include an interactive participatory component where
the applicant role plays as both the consumer and the real
estate professional.
• A copy of the completed Live Scan Service Request (RE
237) (refer to Fingerprint Information).
Please read all examination and license information/instructions
before completing and submitting this application; for paper
applications type or print in ink.
GENERAL APPLICANT INFORMATION
• You are scheduled for one salesperson examination date at a
time.
• Name —
To avoid delays in the processing of your exam/
license application(s) you must provide your legal name.
Further, the name listed as your legal name must appear
on all accompanying documents, including Completion
Provide documentation (i.e., copy of both new
change or discrepancy between your legal name and the name
you used in applying for the examination or the name on your
• Mailing address — Use of a real estate school/business mailing
address (item #5A-D) may cause a delay in mail delivery. If
you are not a resident of California, submit a notarized Consent
to Service (RE 234). You may change your mailing address
online using eLicensing at www.dre.ca.gov or by submitting
Note:
Changing your exam address online will not change
the address on your license record. You will need to submit
.
• Business, examinee, and licensee mailing addresses are public
information and as such are posted on the Internet and are
available from DRE via download, telephone, or written requests.
Please consider this when identifying a business, examinee, or
licensee mailing address.
• The examination is qualifying in nature. If you pass the
examination, an actual score will not be released.
EXAMINATION SCHEDULING INFORMATION
• Schedules and examination locations are subject to change.
can schedule yourself on eLicensing.
• Salesperson examinations are administered: in Fresno, the
Los Angeles vicinity, Oakland, Sacramento, and San Diego. At
www.dre.ca.gov you can view a calendar of examination dates
and locations currently being scheduled. Since DRE allows
reschedule requests online, by phone, and through the mail,
available; therefore, requests on paper applications cannot be
guaranteed.
examination or DRE will schedule you. If you indicate on the
the examination, an email will be sent to you advising you that
eLicensing to schedule
your examination.
the earliest available date in the area chosen.
• Exam date notication — Processing timeframes are listed
at www.dre.ca.gov. These timeframes estimate when the
processing of your application should be completed.
within the timeframes listed on our website, you can obtain
your scheduled date through eLicensing at www.dre.ca.gov.
• If you have not yet been assigned an exam date or received a
the processing timeframes, check with your bank or credit card
company to assure that DRE has processed your fee.
• Applicants with limitations requiring reasonable accommodations
must submit a Reasonable Accommodation Request for
RE 435A (Rev. 6/24)
Continued on page 2
RE 435A Page 2 of 3
Do not
attempt to schedule a reasonable accommodation via our
website, as eLicensing does not provide such a service
.
Compliance with reasonable accommodation requests may
be limited by scheduling constraints
• Use eLicensing to submit an exam or exam/license application
or for expedited processing to reschedule an examination,
review your examination results and records, request a duplicate
schedule or result notice, and change your examination mailing
address.
All exam scheduling transactions done by the examinee in
eLicensing
EDUCATION REQUIREMENTS
In addition to this application and fee, salesperson applicants must
four quarter unit college-level course or an equivalent DRE approved
course in , and one
additional course which should be chosen from the following list of
courses: Accounting, Business Law, Common Interest Developments,
Computer Applications in Real Estate, Escrows, Legal Aspects
of Real Estate, Mortgage Loan Brokering & Lending, Property
Management, Real Estate Appraisal, Real Estate Economics, Real
The three semester-unit or four quarter-unit courses must be
completed through a regionally accredited college or university
or an approved DRE private course sponsor. Course(s) completed
through a foreign institution of higher learning must be evaluated
by a foreign credentials evaluation service approved by DRE. Refer
to the Examination Applicant Foreign Education Information (RE
223) for foreign education.
Refer to Instructions To License Applicants handbook and
Examination Description form (RE 425) for further information,
examination content and examination rules. These materials are
available on the DRE website at www.dre.ca.gov or from any
CURRENTLY OR PREVIOUSLY LICENSED?
• If you currently have a real estate salesperson license in
California, or if your license expired less than two years ago,
you are not eligible to take a salesperson examination. You may
obtain a new license through the renewal process.
GENERAL LICENSE INFORMATION
educational requirements, or completed Live Scan Service Request
(RE 237) will delay processing.
You may check to verify that your license has been issued by
referencing the license status look up at www.dre.ca.gov. Current
processing timeframes for properly completed applications are
posted on the website.
Forms referenced in these instructions can be obtained from the
DRE website.
Once you pass the exam and are issued the license, you may use
eLicensing
Items 19 through 26
•
if you will be performing work in real estate for which a real
estate license is required. Note: Only the sponsoring broker’s
are not acceptable, and will delay the issuance of the license.
• If applying using eLicnesing, an email will notify the prospective
•
should enter his/her printed name on item #26 and sign on item
#25 on behalf of the corporation.
Items 27 through 34
• background information questions (items 27-30) must be
answered and a full explanation must be provided if any of the
will delay the processing of your license.
• Read the
and #34.
FINGERPRINT INFORM
ATION
Completion & Submission of RE 237
real estate license applicant. Fingerprints must be submitted
through
A Live Scan Service Request (RE 237) may be
obtained online at www.dre.ca.gov.
provider, either submit a completed copy of RE 237 with this
later date, submit a completed copy of RE 237 to the Department
651 Bannon Street, STE 503,
1 Fingerprint Desk. Your license will not be issued
until a report from
history, or disclosing the existence of criminal
history information. If prior criminal information is disclosed
in the report, further background inquiry may be required
before your license is issued.
Fingerprint Services (Contact the facility for fees/hours)
Many California law enforcement agencies and other private
www.ag.ca.gov. Please note
that the hours of operation for each provider may vary and an
appointment may be required.
Out-of-state applicants
Out-of-state residents either need to make arrangements to get their
the Licensing Section at 877-373-4542. It should be
taken to a local law enforcement agency for completion and
submitted directly to DRE with the completed exam/license
application, exam/license
Continued on page 3
RE 435A Page 3 of 3
NOTICE ABOUT THE SAFE ACT
All DRE licensees who conduct residential mortgage loan activities,
as outlined in the federal SAFE Act, must obtain a mortgage loan
originator (MLO) license endorsement in order to perform these
MLO license endorsement applications must be submitted through
the Nationwide Multistate Licensing System & Registry (NMLS)
and applicants must successfully complete the National test with
through NMLS and pay required license endorsement fees, submit
requirement, and submit authorization for NMLS to obtain a
credit report. All MLO license endorsements expire on December
st
through NMLS along with the appropriate fees, and evidence of
information regarding obtaining a MLO license endorsement can
be found on our website.
RE 866 Filing Requirements
All DRE licensees must report to the Department of Real Estate if
they make, arrange, or service loans secured by residential property,
must be made within 30 days of commencing such activity and
SUBVERSION OF EXAMINATION
It is a misdemeanor for any person to subvert or attempt to subvert
security and provide that DRE may deny, suspend, restrict or revoke
the license of an applicant or licensee who subverts or attempts to
subvert a licensing examination.
In addition to any other penalties, a person found guilty of violating
sustained by the agency administering the examination not to exceed
FEES, PAYMENT & MAILING INFORMATION
Fees are subject to change.
Fees – Refer to form RE 206 for current Exam and License fees.
Fingerprint Fee
Fingerprint fee — Applicants who reside in California will
reside out of state
Missing requirements may be submitted anytime within the two year
period after DRE receipt of your application/fee. A new application,
and pass the examination during that two year period.
The fees for the examination and license are not refundable
or transferable to another application pursuant to B&P Code
section 10207.
Acceptable payment methods — Cashiers’ check, money order,
check or debit/credit card.
• Make check or money order payable to: Department of Real
• If paying by credit card, you must complete a Credit Card
Mail To — Department of Real Estate
Attn: Exams Section
DRE Licensing can be contacted toll free at 877-373-4542.
EXPEDITED PROCESSING FOR U.S. MILITARY
Honorably discharged veterans of the U.S. Armed Forces and spouses/
partners who meet the conditions under Business and Professions Code
• In order to obtain expedited processing:
documents, and fee.
please submit documentation of the relationship to the service
member, real estate license from other jurisdiction, and current
duty station orders for California along with application,
If you are applying online, documentation can be submitted as part of the
online application process. If you are applying via mail, please utilize the
mailing address below for expedited processing.
Mail To — Department of Real Estate
Attn: Military Expedite
Please note - Applications to this P.O. Box from non-honorably
discharged veterans or eligible spouses/partners will be processed
in date received order
has the right to review personal information maintained by this Agency, unless
access is exempted by law.
Department of Real Estate Assistant Commissioner
Business and Professions Code authorizes the maintenance of this information.
real estate licensee to initially provide to the Department of Real Estate
his or her social security number which will be furnished to the Franchise
Tax Board. The Franchise Tax Board will use your number to establish
the application, that the Department of Tax and Fee Administration and the
Franchise Tax Board will share taxpayer information with the Department of
Real Estate, and that failure to pay tax obligations may result in a suspension
or denial of a license. The Board of Equalization and Franchise Tax Board
require the Department to collect social security numbers and federal taxpayer
and Taxation Code. Your social security numbers and federal taxpayer
to the public for inspection.
The Real Estate Law and the Regulations of the Commissioner require
part of the required information is not provided, processing may be delayed. In
addition, the Commissioner may suspend or revoke a license, or in the case of a
license applicant, may deny the issuance for misstatements of facts (including
a failure to disclose a material fact) in an application for a license.
The information requested in this form is primarily used to furnish license status
information to the Department’s Enforcement Section, and to answer inquiries
and give information to the public on license status, mailing and business
addresses and actions taken to deny, revoke, restrict or suspend licenses for
cause.
This information may be transferred to real estate licensing agencies in other
Department of Business Oversight, Department of Insurance, Department of
APPLICANT NAME (LAST, FIRST, & MIDDLE INITIAL)
FORMER NAME/AKA’S (LAST, FIRST)
DATE OF BIRTH (MM/DD/YYYY) GENDER HEIGHT WEIGHT
MALE FEMALE
EYE COLOR HAIR COLOR PLACE OF BIRTH
SOCIAL SECURITY NUMBER CALIFORNIA DRIVER’S LICENSE NO. AGENCY BILLING NUMBER
RESIDENCE ADDRESS (STREET/P.O. BOX, CITY, STATE, ZIP CODE)
YOUR OCA NUMBER (USE SOCIAL SECURITY NUMBER) LEVEL OF SERVICE
CALIFORNIA DEPARTMENT OF JUSTICE / FBI
(Applicant/Petitioner)
64
PART 3 LIVE SCAN TRANSACTION
AGENCY ADDRESS SET
CALIFORNIA DEPARTMENT OF REAL ESTATE
651 BANNON STREET, STE 500 SACRAMENTO CA 95811
APPLICATION TYPE
LICENSE, CERTIFICATION, OR PERMIT
APPLICATION TITLE
REAL ESTATE LICENSE
OPERATOR NAME DATE COMPLETED TRANSMITTING AGENCY
AMOUNT COLLECTED (FOR ROLLING FEE) AMOUNT COLLECTED (FOR DOJ/FBI PROCESSING) ATI NUMBER
PART 1 CONTRIBUTING AGENCY
PART 2 APPLICANT’S PERSONAL INFORMATION
Original Copy Second Copy Third Copy
Live Scan Operator Department of Real Estate Applicant
Attention - Live Scan Service Providers
should be
E-MAIL CODE
09416
CONTACT NAME
LICENSING SECTION
CONTACT TELEPHONE NUMBER
1-877-373-4542
Instructions on reverse.
Fees paid by applicant
ORIGINAL ATI NUMBER LEVEL OF SERVICE REQUESTED FOR RESUBMISSION
CALIFORNIA DEPARTMENT OF JUSTICE FBI
PART 4 LIVE SCAN RESUBMISSION TRANSACTION
AGENCY ORI NUMBER
A0075
I have received and read the included Privacy Notice, Privacy Act Statement, and Applicant's Privacy Rights.
Applicant Signature Date
RE 237 Page 2 of 4
APPLICANT INSTRUCTIONS
Fingerprint Requirement
Completion of Form RE 237 Live Scan Service
Request
firm
y
Submission of Fingerprint Form
651 Bannon
Street, STE 503 Attn: Fingerprint Desk,
1
Fees
Processing fee
Service fee
Fingerprint Services (Contact the facility for fees &
hours.)
Many California law enforcement agencies and other
private providers provide electronic fingerprint services.
You may obtain a complete list by checking the Web site of
the California Department of Justice at https://oag.ca.gov/
fingerprints/locations. Please note that the hours of
operation for each provider may vary and an appointment
may be required.
RE 237 Page 3 of 4
RE 237 Page 4 of 4
GENERAL INFORMATION
The Department of Real Estate is required to collect demographic information regarding applicants for licensure pursuant to Business
& Professions Code 480 et seq., if the applicant chooses to provide this information. Providing this information is voluntary, and
providing responses will not impact the Department’s review of your license application.
ASIAN PACIFIC ISLANDER
State of California
Department of Real Estate
License Application Demographic Survey
RE 243 (Rev. 7/20)
Thank You For Completing This Questionnaire
