Fillable Printable Real Estate Appraiser License/Certification Application
Fillable Printable Real Estate Appraiser License/Certification Application
Real Estate Appraiser License/Certification Application
Real Estate Appraiser
License/Certification Application
You can use this form to apply for a real estate appraiser license/certification.
Your application must include:
• Copies of course completion certificates or copies of the front and back of
your official college transcripts for the required courses
• Your Real Estate Appraiser Applicant/Trainee Experience Log and/or
Real Estate Assessor Mass Appraisal Log
Send this completed form, all required attachments, and a check or money
order for the $370 non-refundable fee, payable to Department of Licensing, to:
Real Estate Appraiser
Department of Licensing
PO Box 3917
Seattle, WA 98124-3917
Note: We keep your complete application on file. You can make corrections to the application if necessary, but you cannot
make changes to your experience log.
Application type (choose only one):
Certified general
Certified residential
State licensed
Applicant
PRINT or TYPE Name (Last, First, Middle) Former name
Social Security number required* Date of birth
Mailing address (Street or PO Box, City, State, ZIP code)
Physical address (if different than mailing–Street, City, State, ZIP code)
Business name (if applicable)
Business physical address (Street, City, State, ZIP code)
(Area code) Telephone number (during normal business hours)
Email address
*All applicants are required by federal and state law to provide their Social Security number (SSN) for use in child support enforcement programs
(42 U.S.C. 666(a)(13) and RCW 74.20A.320). It may also be used for education loan repayment programs and identification of records with similar
names. Submission of your SSN is mandatory; failure to submit it will result in denial of your application.
Personal data
Answer the following
If you answer “Yes” to any of the questions below, attach a detailed explanation on a separate 8-
1/2” x 11” sheet and
include official court documents.
In this state or any other jurisdiction, are you or have you:
1. With the last 10 years, had any action (fine, suspension, revocation, censure, surrender, etc.)
taken against any professional or occupational license, certification, or permit held by you? ......... Yes No
2. Within the last 10 years, had any civil court order, verdict, or judgment entered against you? ........ Yes No
3. Within the last 10 years, defaulted or been convicted of or entered a plea of no contest to
a gross misdemeanor or felony crime? (Don’t include traffic offenses) .......................... Yes No
4. Currently required to register as a sex offender?........................................... Yes No
If “Yes,” in which state and county
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Click here to START or CLEAR, then hit the TAB button
Qualifying experience and general work history
1. Total number of logged hours of experience in residential real estate appraising ..................
2. Total number of logged hours of experience in non-residential real estate appraising ..............
List in chronological order all real estate appraiser work experience. If you are (or have been) self-employed, and the sole
proprietor of the company, please list the company name and enter “self” under “Employer or Supervisor.” You may attach
additional pages if necessary.
1 Name of company Your title/ position (Area code) Telephone Employer/ Supervisor name
Company address Dates (From - To) Monthly hours Total hours
Duties
2 Name of company Your title/ position (Area code) Telephone Employer/ Supervisor name
Company address Dates (From - To) Monthly hours Total hours
Duties
3 Name of company Your title/ position (Area code) Telephone Employer/ Supervisor name
Company address Dates (From - To) Monthly hours Total hours
Duties
4 Name of company Your title/ position (Area code) Telephone Employer/ Supervisor name
Company address Dates (From - To) Monthly hours Total hours
Duties
Education
An official college transcript or course certificate together with evidence of examination passage must be submitted for
all courses listed. You must have successfully completed course work as specified in WAC 308-125-030, 308-125-040,
308-125-045, and 308-125-050.
Course title
Dates attended (Month/Year)
Total classroom hours/
college credits (Qtr. or Sem.) Course provider
Course location
(City and State)From To
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Certification
I authorize business associates (past and present) and any governmental agencies (local, state, or federal) to release
any information required for a background investigation by the Department of Licensing.
I agree to follow all the applicable laws and rules of this profession.
I understand that lawsuits or other actions may be filed against me in Washington and I consent that service of process
may be made by delivering it to the Director of the Department of Licensing.
I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.
TYPE or PRINT Name
Date and place Signature
Experience Log certification
The Real Estate Appraiser Experience Log submitted with this application is true and correct. For each assignment:
• I signed or was recognized in the report, or was responsible for and contributed significantly to the entire report, even
though I may not have performed the entire appraisal.
• If I acted as a review appraiser, I formed an opinion as to the adequacy and appropriateness of the report being
reviewed and clearly disclosed the nature of the review process. (Not applicable for trainees.)
I have gained the required hours of real estate appraisal experience through the appraisals listed in the Experience
Log. If requested, I will make copies available of any appraisal reports I have prepared.
I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.
TYPE or PRINT Name
Date and place Signature
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When you have completed this form, please print it out and sign here.
When you have completed this form, please print it out and sign here.
