Broker-in-Charge Declaration

An image of the North Carolin Real Estate Seal.

  1. Click here to read the Qualifications and responsibilities of a broker-in-charge. Please review these carefully.
  2. If the firm has more than one office where real estate brokerage activities are conducted, submit a separate form for each office. A broker practicing alone shall designate himself or herself as broker-in-charge.
  3. For initial designation, brokers must complete the Commission’s 12-hour Broker-in-Charge Course within three years prior to or 120 days following designation as broker-in-charge.
  4. Any agent listed on the Commission’s records as affiliated with the previous broker-in-charge will be changed to reflect you as their broker-in-charge of record unless you notify us in writing differently.
  5. SPECIAL NOTE: If you have lost broker-in-charge eligibility, then before you submit this form to re-declare as broker-in-charge, Commission Rule A.0110 requires you to complete the following steps in the prescribed order :(*Note that you must have the experience required for initial designation.)
    1. Take the necessary steps to return your license to active status, i.e., pay reinstatement fee and/or complete required education:
    2. File the Activate License form (REC 2.08):
    3. Complete the Commission’s 12-hour Broker-in-Charge Course: and
    4. File the BIC Declaration form (REC 2.04).
  6. If you do not receive a Notice of License Record Change within 10 business days after filing this form, you should contact License Services at 919-875-3700.

Personal Information

Firm Information

Contact Information


I certify to the North Carolina Real Estate Commission that I have been duly designated by the Qualifying Broker of the real estate firm shown herein to serve as broker-in-charge for such firm at the office listed and that I have the experience required for such designation. I further certify that I shall carry out my responsibilities as broker-in-charge for such office in accordance with the Commission’s rules, that I shall directly supervise any and all licensed real estate provisional brokers working from such office, and that I will continually maintain my license on active status.

(Type your name)

Date Signed


An image of an exclamation point.
Processing Form...

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.