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ARIZONA DEPARTMENT OF REAL ESTATE (AZRE)
RENEWAL APPLICATION INSTRUCTIONS
RENEWAL PACKET
Use this form to renew your salesperson, associate broker, designated broker, self employed broker, and entity license.
RENEWAL APPLICANTS SUBMIT THE FOLLOWING
You can renew your license up to 90 days before your expiration date online or over the counter.
If you have a valid email address on your personal page online, you will receive a 90, 60, and 30 day renewal reminder.
• Over the counter renewals require this Renewal Packet and original ink signatures along with in office fees.
• Process your renewal online for a reduced fee. See up to date fee schedule online at www.azre.gov.
FORMS NEEDED TO RENEW ACTIVE AND INACTIVE LICENSEES TIMELY
•
Proof of Legal Residency – If not already on file. Submit proof at least but no later than 4 days before expiration date if uploading online. Online
submittal may take up to 72 hours for verification by an AZRE representative. AZRE is not responsible for late submittals.
•
•
Renewal Application (LI-243) – Completed in full with original ink signature by agent and if active, renewal must be signed by Designated Broker (DB).
Designated Broker (DB) & Self Employed (SE) Brokers – Are required to submit a Broker Supervision & Control Audit Declaration (BAD) due at time
of expiration if you were in ACTIVE status within the previous renewal period. •Visit www.azre.gov, go to •Forms, select •Auditing, and then print or
download the self audit for submittal.
Renewal Questionnaire (LI-244) – If you answered YES to any question you must disclose the action or incident taken against you. See
Disclosure Submittal Checklist (LI-400) for additional submittal requirements.
•
•
•
ALL LICENSEES RENEWING LATE
Unlawful Licensed Activity Statement (LI-555) – Completed in full with original ink signature from licensee. If you answered YES, submit a statement
regarding any activity conducted while in expired or inactive status.
DISCLOSURES
ALL LICENSEES DISCLOSING AN ACTION OR INCIDENT TAKEN AGAINST YOU
Disclosure Submittal Checklist (LI-400) – If you answered YES to any question on the Renewal Questionnaire (LI-244) you must disclose the action or
incident taken against you. See the Disclosure Submittal Checklist for additional document submittal requirements.
LATE RENEWALS
• A LATE RENEWAL IS CONSIDERED LATE EVEN 1 DAY AFTER EXPIRATION
Even if the online system states you’re status is Active your license is indeed INACTIVE and YOU MUST STOP CONDUCTING ANY
ACTIVITY that requires a license. If you are a DB or SE and you or your agents are conducting business, contact the office immediately.
• DESIGNATED BROKERS OR SELF EMPLOYEED BROKERS RENEWING LATE MUST RENEW IN OFFICE OR BY MAIL
DB or SE cannot renew either their personal, entity (brokerage), or branch office late online. DB or SE must complete a renewal packet,
Unlawful Licensed Activity Statement, (1 packet for their personal license renewal and 1 packet for the entity (brokerage) license renewal),
along with the appropriate fees in office or by mail.
• SALESPERSON OR ASSOC BROKER RENEWING LATE
If renewing late YOUR LICENSE HAS EXPIRED AND YOU ARE INACTIVE. Even if the online system states you’re status is Active your
license is indeed INACTIVE and YOU MUST STOP CONDUCTING ANY ACTIVITY that requires a license. Upon renewal your license
status will reflect Inactive until you have renewed, paid the renewal fee, and add or change your employer by form or online.
• LATE ENTITY (BROKERAGE) RENEWAL
If the entity (brokerage) or DB’s license has expired. Complete the renewal pa DB or SE must complete a renewal packet, Unlawful
Licensed Activity Statement, along with the appropriate fees in office or by mail.
FEES SCHEDULE
FEES MAY CHANGE WITHOUT NOTICE. Visit www.azre.gov for an up to date fee schedule. Fees are due at time of renewal submittal
online, in office, or by mail. A payment of a fee twice for the same transaction does not constitute the “good cause” required for the
Department to issue a refund. Remember, you pay less by renewing on-line.
Status or Type of License – Can I renew on-line?
Active
Inactive
Expired
Terminated
Provisional
Departmental
Matter
Licensee has a valid license and is actively employed under a broker. Eligible to renew in office, by mail, or online.
Licensee has a valid license but is not currently employed. Eligible to renew in office, by mail, or online.
License has expired and licensee is eligible to renew up to 1 year past expiration date to remain a licensee. Eligible to
renew in office, by mail, or online.
Licensee has passed expiration date and has exceeded 1 year of expiration. Licensee is not eligible to renew and must
contact AZRE to reinstate license. If your license expired more than one year ago, you must apply again as if applying
for an original license. See A.R.S. § 32-2131
Some provisional licensee’s CANNOT renew online and must submit a paper renewal. Also, some provisional
licensee’s must have a signature from an Enforcement and Compliance officer before they can submit renewal forms or
supporting documentation to AZRE for renewal. Call a customer service representative for verification.
Licensee has a valid license but CANNOT renew online and must submit a paper renewal. Also, some departmental
matters must have a signature from and Enforcement and Compliance officer before they can submit renewal forms or
any supporting documentation to AZRE for renewal. Contact a customer service representative for verification.
RENEWAL PACKET 12/09
Page 1 of 7
RENEWAL PACKET
RENEWAL APPLICATION INSTRUCTIONS
Continued
CONTINIUED EDUCATION REQUIREMENTS
You DO NOT need to submit continued education for the following licenses
•
Entity (Brokerage)
•
Branch Office’s
•
Cemetery / Camping Salesperson or Broker
You DO need to submit continued education hours for the following licenses EVERY 24 MONTHS
•
Real Estate Salesperson
Active or Inactive
•
Real Estate Associate Broker or
Broker Active or Inactive
•
Real Estate Self Employed Broker or Designated Broker Active
or Inactive. And must maintain a Brokers Management Clinic
every upon expiration date.
CONTINUED EDUCATION (CE) COURSES / RENEWAL / AND FEES SCHEDULE
As of July 2008 - Every individual agent is responsible for inputting the CE course information in their personal page online in
a timely manner. Do not submit hard copies to AZRE. The Department, school institutions, or any course instructor shall
NOT be held responsible for submittal of licensees CE input.
To be eligible to renew your real estate license, all agents must complete a minimum of 24 credit hours of Arizona Department of Real
Estate approved continuing education (CE) courses EVERY 24 months. Original licensee’s need •24 CE hours before their expiration
date and can renew up to but not before 90 days in advance of expiration. Licensees with a 4 year renewal date need •24 CE
hours in each 24 month period. •The First 24 Months 24 CE hours are due within the first 24 months. •The Second 24 months 24 credit
hours are due no later than the license expiration date. Renewals can be processed up to but no earlier than 90 days in advance. If
you fail to comply in a timely manner you will receive an Accelerated Settlement Agreement Process notice for Failure to
Complete Continuing Education (CE) Requirements which may include penalty fees.
To input course information visit our website at www.azre.gov. Under Quick Links click on •Online License System. Login
to your personal page. Under •I Want To select •Manage My Continued Education. Under the menu select •Submit
Courses to input the course number and course date information from the certificate you received upon completion of the
course. Verify your CE input, or review courses still needed by selecting •View Current Status under the menu.
A minimum of 3 hours in each of 6 mandatory categories, (bolded) are required every 24 months. To complete the 24 credit hours, you
must complete the 18 mandatory category hours plus an additional 6 hours, (elective) in any of the following.
Salesperson
 Agency Law
 Disclosure
 Commissioner‘s
Standards
 3 Hours Elective
 Contract Law
 Fair Housing
 Real Estate
Legal Issues
 3 Hours Elective
Associate Broker
 Agency Law
 Disclosure
 Commissioner‘s
Standards
 3 Hours Elective
 Contract Law
 Fair Housing
 Real Estate
Legal Issues
 3 Hours Elective
Designated Broker or Self Employed Broker
 Agency Law
 Disclosure
 Commissioner‘s
Standards
 Real Estate
Legal Issues
 Contract Law
Fair Housing
3 Hours Elective
3 Hours Elective
*Brokers Management Clinic
BMC (Active Only)
 Broker Audit Declaration
(BAD) completed upon
expiration date




*Designated Brokers (DB) & Self Employed Brokers (SE) are required to have a Broker Management Clinic in each twenty-four
month period of licensure order to renew. The Broker Management Clinic may be used as the Commissioner’s Standards category
**** VERY IMPORTANT NOTES *****
 If you are eligible to RENEW ONLINE, please do so. Remember, you pay less by renewing on-line.
 If you have not submitted your proof of legal residency, you must submit it no later than 4 days before the license expiration date by
online submittal. If you have not satisfied proof four days prior to your expiration date you must submit proof in person or your license
could expire.
 All licensees are solely responsible for submitting course information into the online system to get credit for any and all continuing
education courses. Visit www.azre.gov and login to your personal page to submit course information.
 DO NOT sumit copies or original course certificates to AZRE.
 Review the instructions for this application before submittal.
 It can take up to 2 weeks to process mailed in renewals depending on backlog. Mail will be processed and the date will revert to the
received date if everything has been submitted complete and fees are paid. Post mark is verified for timely submittal.
 Make a COPY of this application for your records BEFORE you file.
 DO NOT submit the instructions when filing renewal.
 DO NOT submit by fax, scan, or email.
 All renewal forms must have original ink signatures – NO EXCEPTIONS
 Fees due upon receipt of all forms and supporting documentation.
RENEWAL PACKET 12/09
Page 2 of 7
RENEWAL PACKET
ARIZONA DEPARTMENT OF REAL ESTATE (AZRE)
www.azre.gov
Janice K. Brewer
Governor
2910 N 44TH STREET STE-100
PHOENIX, AZ 85018
Judy Lowe
Commissioner
RENEWAL APPLICATION
LI-243
Please Print
Licensee’s LEGAL Name if being renewed 
Brokerage LEGAL Name if being renewed 
AZRE ONLY –
ACC FOR ALL ENTITIES
 Good Standing
Currently Expires On 
License number being renewed 
Phone 
(
)
(
Fax 
)
Email Address 
 No
Do you have a PC or a PLLC? 
 Yes
AZRE ONLY –
ACC FOR ALL PC’S OR PLLC’S
 Good Standing
If Yes, what is the PC or PLLC name? 
Check type of renewal for this submittal. Mark all that apply.
 Salesperson
 Assoc Broker
 Designated Broker
 Sole Proprietor
 Provisional
How many offices need to be renewed if renewing employing broker license?
 Main Office
 Branch Office/s
How many active branch offices need to be renewed? ___________________
Is this license currently? Mark all that apply.
AZRE E&C USE ONLY
 Active
 Inactive
E & C SIGNATURE
 Provisional
 Departmental Matter
ORDER
DATE
If you are Active complete the following Entity (Brokerage) Information below.
Employing Entity(Brokerage) Legal Name 
Employing Entity(Brokerage) DBA Name 
Physical Business Address 
CITY
X
PRINT LICENSEE’S NAME
X
PRINT DESIGNATED BROKER NAME
STATE
COUNTY
ZIP
ORIGINAL INK SIGNATURE REQUIRED
DATE
ORIGINAL INK SIGNATURE REQUIRED
DATE
(If Sole Proprietor, in signing this form, I declare I am the ONLY person who owns, has exclusive title or legal right to the business.)
FOR AZRE USE ONLY
DATE STAMP
EFFECTIVE DATE
RECEIPT
INPUT DATE
EXPIRATION DATE
TIMEFRAMED
TF 1
TF 2
PROCESSED BY
RENEWAL PACKET 12/09
Page 3 of 7
ARIZONA DEPARTMENT OF REAL ESTATE (AZRE)
www.azre.gov
PHOENIX OFFICE
2910 N 44TH STREET STE-100
PHOENIX, AZ 85018
RENEWAL PACKET
TUCSON OFFICE
400 W CONGRESS STE-523
TUCSON, AZ 85701
RENEWAL QUESTIONNARIE
LI-244
Please answer ALL questions and submit them to AZRE along with your Renewal Application. You must answer EVERY question. If you
DO NOT answer every question your application will be considered incomplete and will be returned to you unprocessed. Be certain you
understand the questions and that your answers are truthful and correct. Failure to answer these questions truthfully may result in
disciplinary actions including, but not limited to, suspension or revocation. 2. A.R.S. § 32-2153 (B) (1). In addition, you may be subject
to a civil penalty 3. A.R.S. § 32-2160.01
Since your last renewal or within the past 2 years, have you? (If this is your first renewal).
OR Since your last renewal or within the past 4 years, have you? (If you have a 4 year renewal).
1.
Have you had a professional or occupational license or registration of ANY kind denied, suspended, restricted, or revoked?
 YES
 NO
2.
Have you had an administrative order or ANY other disciplinary action taken against ANY license issued to you by any local,
state, or federal regulatory agency?
 YES
 NO
3.
Have you voluntarily surrendered any license during the course of an investigation or disciplinary proceeding?
 YES
 NO
 YES
 NO
 YES
 NO
 YES
 NO
 YES
 NO
 YES
 NO
 YES
 NO
 YES
 NO
 YES
 NO
 YES
 NO
 YES
 NO
 YES
 NO
 YES
 NO
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Have you entered into ANY consent decreed, or had an injunction (either temporary or permanent), a suspension, an order or
a judgment issued which prohibited or restricted you from engaging in ANY profession or occupation?
Have you had any judgment or order against you by ANY court involving fraud, dishonesty, misrepresentation, unfair trade
practice, or moral turpitude?
Have you had any judgment or order entered against you by ANY court arising out of the conduct of any business in real
estate, cemetery property, timeshare intervals, or membership campgrounds?
Have you had ANY SUBDIVISION PUBLIC REPORT or REGISTRATION TO SELL real estate, timeshares, cemetery lots, or
campground memberships denied or suspended?
Has ANY real estate recovery fund or similar fund, ever made a payment that was charged against you or against a business
for which you were the qualifying party?
Are there any disciplinary hearings, or other administrative actions pending against ANY professional or occupational licenses
you hold in Arizona or in any other state?
Have you held or do you hold ownership interest of 10% or more to exercise control in any business, corporation, partnership,
or limited liability company that you would have had to answer
Have you been convicted or entered into a plea agreement or a plea of NOLO CONTENDERE (no contest) to ANY felony in
Arizona or any other state whether or not the plea or verdict was set aside, judgment or sentencing was deferred, the
conviction was dismissed or expunged, or you have been pardoned?
Have you been convicted or entered into a plea agreement or a plea of NOLO CONTENDERE (no contest) to ANY misdemeanor
in Arizona or any other state whether or not the plea or verdict was set aside, judgment or sentencing was deferred, the
conviction was dismissed or expunged, or you have been pardoned?
NOTE – DUI AND RECKLESS DRIVING ARE MISDEMEANORS AND MUST BE REPORTED. Minor traffic citations do
not constitute a misdemeanor or felony offence and do not need to be reported.
Are you CURRENLTY in a deferred period, in a diversion program, or convicted of a Class 6 Undesignated Offence, which has
not yet been designated as a felony or misdemeanor to date of this application?
14. Are you CURRENLTY incarcerated, paroled, or on probation because of ANY conviction?
If you answered YES to any questions 1 Thru 14, please answer the following.
1.
Have you previously disclosed the incident to AZRE in writing?
2.
Approximate date of disclosure >
Type of disclosure >
If you have not previously disclosed the incident or action to AZRE in writing you must refer to the DISCLOSURE SUBMITTAL CHECKLIST (LI-400) for a list
of additional required documents and supporting documentation that must be submitted to AZRE before your renewal application is submitted for
processing.
If you are unsure whether you have previously disclosed the incident or action to AZRE, contact a customer service representative and ask that your
record be reviewed.
CERTIFICATION OF ANSWERS
I Certify under penalty of perjury, under the laws of the State of Arizona, that the foregoing answers and statements given in this
application are true and correct. I certify that at the time of the issuance of license I will be 18 years of age or older. I certify that if
licensed I will not violate any provisions of the Real Estate Law nor abuse the privileges of a license.
X
Print Name
Original Signature of Applicant
Date
Review your application and make sure you have an ORIGINAL SIGNATURE where required. Attach supporting documentation and the
required fee before submitting your request to AZRE. If AZRE receives an incomplete application, we will return the application to you
UNPROCESSED.
RENEWAL PACKET 12/09
Page 4 of 7
ARIZONA DEPARTMENT OF REAL ESTATE
RENEWAL PACKET
UNLAWFUL LICENSE ACTIVITY STATEMENT
DO NOT SUBMIT APPLICATIONS BY FAX OR E-MAIL
Original ink signature required
You are required to submit this form if you are renewing late OR have conducted any unlicensed activity during an
EXPIRED or INACTIVE status license.
One form for each renewal is required if you are renewing an agents license and an entity license.
LATE RENEWALS
A LATE RENEWAL IS CONSIDERED LATE EVEN 1 DAY AFTER EXPIRATION. Even if the online system
states you’re status is Active your license is indeed INACTIVE and YOU MUST STOP CONDUCTING ANY
ACTIVITY that requires a license. If you are a DB or SE and you or your agents are conducting business,
contact the office immediately.
DESIGNATED BROKERS OR SELF EMPLOYEED BROKERS RENEWING LATE MUST RENEW IN
OFFICE OR BY MAIL.
DB or SE cannot renew either their personal, entity (brokerage), or branch office late online. DB or SE must
complete a renewal packet, Unlawful Licensed Activity Statement, (1 packet for their personal license renewal
and 1 packet for the entity (brokerage) license renewal), along with the appropriate fees in office or by mail.
SALESPERSON OR ASSOC BROKER RENEWING LATE.
If renewing late YOUR LICENSE HAS EXPIRED AND YOU ARE INACTIVE. Even if the online system
states you’re status is Active your license is indeed INACTIVE and YOU MUST STOP CONDUCTING ANY
ACTIVITY that requires a license. Upon renewal your license status will reflect Inactive until you have
renewed, paid the renewal fee, and add or change your employer by form or online.
LATE ENTITY (BROKERAGE) RENEWAL
If the entity (brokerage) or DB’s license has expired. Complete the renewal pa DB or SE must complete a
renewal packet, Unlawful Licensed Activity Statement, along with the appropriate fees in office or by mail.
Under A.A.C. R4-28-306, Unlawful License Activity means:
• The performance of acts requiring a license under A.R.S. § 32-2122 by person who does not hold a current and active
license;
• The performance of acts requiring a license by a person on behalf of a broker other than the person’s employing
broker; OR
• A broker’s employment of a person as a salesperson or broker if the person does not hold a current and active license
issued to the person under that employment.
Submit the following:
1. A completed and signed Activity Statement Form.
2. A written, signed statement, with explanation of why the unlawful license activity occurred. Identify the name and
license number (if a licensee), of the individual that performed the unlicensed activity stating what activity that
individual conducted during expiration or inactive status. You must acknowledge that no additional activities requiring
a license shall be conducted unless and until the person’s license is current and returned to active status.
3. A written and signed statement from the employing broker’s designated broker identifying all unlawful license activity
conducted on behalf of the employing broker license.
4. Under R4-28-306 the Department may require additional information and documents.
5. FEES - FEES MAY CHANGE WITHOUT NOTICE. Visit www.azre.gov for an up to date fee schedule. Fees are due
at time of submittal in office, by mail, or online. A payment of a fee twice for the same transaction does not
constitute the “good cause” required for the Department to issue a refund.
Note:
If your license information or status needs to be changed, you may submit the appropriate forms for said change. The
Department will not process any change or changes until have renewed your license and/or resolved any unlawful license
activity or other violations.
RENEWAL PACKET 12/09
Page 5 of 7
RENEWAL PACKET
ARIZONA DEPARTMENT OF REAL ESTATE (AZRE)
www.azre.gov
PHOENIX OFFICE
2910 N 44TH STREET STE-100
PHOENIX, AZ 85018
TUCSON OFFICE
400 W CONGRESS STE-523
TUCSON, AZ 85701
UNLAWFUL LICENSE ACTIVITY STATEMENT
LI-555
PLEASE PRINT
Name of Agent or Entity 
(Renewing or Disclosing Unlicensed Activity)
AZRE ONLY – CHECK ACC FOR ALL ENTITIES
 Good Standing / Comments
License Expires / Expired On 
License Number of Agent or Entity 
Phone 
(
)
Fax 
(
)
Email Address 
I declare that the information below is true and correct, and my personal page at www.azre.gov reflects current information also.
Personal Address 
City, State, Zip 
Business Address 
City, State, Zip 
 No
Do you have a PC or a PLLC? 
 Yes
AZRE ONLY –
ACC FOR ALL PC’S OR PLLC’S
 Good Standing
If Yes, what is the PC or PLLC name? 
If you must truthfully answer “YES” to any of the following questions, see instructions for supporting documents needed.
DESIGNATED BROKER ONLY
Did one or more employees perform activities requiring a license when the person or persons
did not hold a current license issued to the employing broker OR while the employing broker’s
license was expired or inactive status?
 NO
ALL LICENSEE’S
1. Did you conduct any activities that required a license during expired or inactive status?
2. Did you conduct any real estate activity or transactions on behalf of an entity that was
not licensed with the Department
3. Did your activity or the activity of employees on behalf of the employing broker result in
any offers or contracts to sell, lease, list or manage real estate, cemetery property or
membership camping contracts?
 YES

NO

YES

NO

YES

NO

YES
I declare that the information that I have provided is completed, true and correct.
X
PRINT NAME
ORIGINAL INK SIGNATURE REQUIRED
FOR DEPARTMEMTAL USE ONLY
DATE STAMP
EFFECTIVE DATE
DATE
RECEIPT
INPUT DATE
TIMEFRAME
TF 1
TF 2
PROCESSED
ARIZONA DEPARTMENT OF REAL ESTATE (AZRE)
RENEWAL PACKET 12/09
Page 6 of 7
www.azre.gov
PHOENIX OFFICE
2910 N 44TH STREET STE-100
PHOENIX, AZ 85018
RENEWAL PACKET
TUCSON OFFICE
400 W CONGRESS STE-523
TUCSON, AZ 85701
DISCLOSURE DOCUMENT SUBMITTAL CHECKLIST
LI-400
Customer Name
License Number
Date of Submittal
• You answered YES to one or more questions on the Original Licensure Questionnaire, Renewal Questionnaire, or Reinstatement
Questionnaire.
Use this checklist to report or disclose any MISDEMEAMOR or CONVICTION, FELONY CONVICTION, JUDGMENT,
RESTRICTION, DICIPLINARY ACTION, CIVIL JUDGMENT, OR, RECOVERY FUND PAYMENT. If you are not sure if the action taken against
you needs to be reported, you must contact the court or agency in question for further clarification.
• If disclosing multiple incidents, you must submit a separate statement for each incident on separate paper. Each statement and
supporting documentation should be sorted by incident and ready for review before submitting any disclosure to AZRE. AZRE cannot
accept disclosures that are missing supporting documents or are deemed incomplete.
•
This checklist is also used for disclosures or late disclosures regarding any incidents before an original license is/was issued OR between
renewal periods in which an action needed to be reported to AZRE within 10 days of any of the above mentioned actions. (If you did not
report or disclose an action within 10 days of or conviction on your original license OR upon renewal you must submit a late disclosure.)
To complete your application for licensure and/or make a full disclosure of an action taken against you, you are required to provide all of
the following:
AZRE CSR must initial each approved item and note REALM record upon review of each customer submittal.
ALL DISCLOSURES - SUBMIT A DETAILED STATEMENT WRITTEN BY YOU - INCLUDING THE FOLLOWING IF IT APPLIES TO YOUR
CONVICTION, JUDGMENT, RESTRICTION, DICIPLINARY ACTION, CIVIL JUDGMENT, OR RECOVERY FUND PAYMENT.
__ Detail of Offence , __ Conviction Date, __Judgment, Sentence, or Type of Offence, __Arresting Agency Name, __Court Name
& Location, __Time Served, __Total Fines, __Required Classes, __Probation Details, __Termination of Probation,
__Signature, __Date of Submittal.
CHARACTER REFERENCE LETTERS – Three personal letters of character reference signed and dated within the
past 90-days from 3 different individuals. (Duplicate and, mass produced letters, or letters written by discloser will not be
accepted.) The letter must state how long the person has known you, (must be more than 1 year). The references must be 18 years of age
or older, not related to you by blood or marriage. The letters must include the reference’s signature, contact information, including telephone
number, and date. Signature does not need to be original, but a signature is required.
10 YEAR WORK HISTORY – Including the employer’s name and addresses, supervisor’s name and telephone number, dates of
employment, position held and job description. Include all periods of unemployment. Resume style is acceptable.
Proof of Legal Presence Documentation – Copy of photo ID required if not already on AZRE record. Visit www.azre.gov for a list of
other acceptable documents.
DISCLOSURE DOCUMENTATION REQUIRED FOR ALL MISDEMEANOR OR FELONY OFFENCES
*CERTIFIED DOCUMENTS - DO NOT ALTER, HIGHLIGHT, WRITE ON, REMOVE PAGES, OR REMOVE STAPLES, (EVEN
TO MAKE COPIES) FROM ANY CERTIFIED DOCUMENTATION. THIS NULLIFIES THE CERTIFICATION AND THE
DOCUMENTATION WILL NOT BE ACCEPTED FOR SUBMITTAL. If a record has been purged, destroyed, or are no longer
available by the court or arresting agency, you must obtain a statement to the effect on letterhead from the court or arresting
agency to replace the certified documentation request.
FOR CRIMINAL OFFENCES, AS APPLICABLE
_________ FINGERPRINT CARD - FOR ALL MISDEMEANOR OR FELONY OFFENCES AND APPROPRIATE FEE DUE – SEE FEE SCHEDULE
*CERTIFIED COPIES OF THE RECORDS FROM THE COURT OF JURISDICTION, WHICH MAY INCLUDE THE FOLLOWING
___ _
____
____
Complaint and Indictment
Plea Agreement
Probation Information
_____ Pre-Sentence Report
_____ Judgment
_____
Sentencing Documents
___ _
Order of Dismissal from Probation
_____
Order Expunging, Dismissing, or Vacating a Conviction and restoring civil rights.
*CERTIFIED COPIES OF THE RECORDS FROM THE ARRESTING AGENCY (Ask court for information on locating this report.)
____
THE POLICE OFFICER’S NARRITAVE, (POLICE REPORT) CONCERNING THE ARREST OR CITATION.
(This report is not in the court documentation and must be obtained for AZRE records.)
FOR DENIALS, RESTRICTIONS, OR DICIPLINARY ACTIONS AGAINST A PROFESSIONAL LICENSE, AS APPLICABLE
*CERTIFIED COPIES FOR EACH THAT APPLY TO YOUR ACTION, WHICH MAY INCLUDE THE FOLLOWING
_____
Notice of Hearing and Complaint
_____
Answer
_____
Findings of Fact and Conclusions of Law
_____
Final Order or Administrative Ruling
_____
Consent or Settlement Agreement
_____
Recovery Fund Payment
_____
A current license history from each state in which you currently hold a professional or occupational license, and in which you held a license
within the preceding five years. To be considered current, the license history must have been issued within 90 days of your filing with AZRE.
CIVIL JUDGMENTS, AS APPLICABLE
*CERTIFIED COPIES OF THE FOLLOWING, AS APPLICABLE, WHICH MAY INCLUDE THE FOLLOWING
_____
Complaint and/or Amended Complaint
RENEWAL PACKET 12/09
_____
Judgment
_____
Satisfaction of Judgment
Page 7 of 7
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