License Activation/Affiliation


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  1. Click here to read the License Activation and Broker Affiliation Instructions to request to activate broker or provisional broker license. Please review these carefully.
  2. Please allow 30 calendar days after submission of this form for processing.
  3. If you have not receive achknowledgement from the Commission within 25 days please contact the Commission Office.

To Be Completed By Provisional Brokers and Full Brokers

To Be Completed By Provisional Broker

Postlicensing Education: Activation is requested based on which option below? (Select one and complete the associated fields if any)*



Does not apply

Continuing Education: Activation is requested based on which option below? (Select one and complete the associated fields if any)*

Provisional Broker holds a license in another state (not NC) and it is on Active Status.




Does not apply

To Be Completed By Full Broker

Continuing Education: Activation is requested based on which option below? (Select one and complete the associated fields if any)*

Broker holds a license in another state (not NC) and it is on Active Status.




Does not apply

Request Type (Select one)*

Activation Only: License activation at the licensee's home address (No Broker-in-Charge affiliation.)

Activation & Affiliation: License activation and notification of affiliation with a Broker-in-Charge.

Affiliation Only: Notification of affiliation with a Broker-in-Charge, including secondary affiliations.

To Be Completed By Broker-In-Charge

Authorization

The Broker-in-Charge signature is required. However, if the form is being completed by the Broker, the Broker can certify that they have the BIC's permission to submit this form. Is the Broker certifying they have the BIC's permission to submit this form? *

Yes, I have the Broker-in-Charge's permission to sign and submit this form.

No, the Broker-in-Charge signed this form.


Info
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Info
Processing Form...
107.20.115.174

This form is not meant to be printed. If you have already completed the form please use the submit button at the bottom to send the form directly to the Commission.