Real Estate Exam Waiver Request Form

Full Legal Name

First NameMiddle NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Mailing Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Preferred Contact Method

State/Region

License Type or Application Category

Exam Name

Exam Provider or Testing Body

Exam Date

Date

Prior Education or Training Completed

Relevant Work Experience

Reason for Requesting the Waiver

How You Meet the Waiver Criteria

Supporting Documents

Additional Notes