The Real Estate Commission can reissue a real estate license certificate and/or pocket card only if the firm name has been
legally changed or if the original license certificate or pocket card has been lost or damaged or was never received.
This form should only be used to request a FIRM name change. To request a broker name change, please use the
Request to Reissue BROKER Real Estate License Certificate and/or Pocket Card.
- Payment may be made with a Visa, MasterCard, American Express and Discover or valid PayPal account.
- All fees are non-refundable.
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.