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Instructions for Completing Form 2090-1 Request for Course Evaluation Requestor Information a) Identifying Number – If you are a licensed real estate school this will be your permit number; if you are a board approved Provider or a National or State Recognized Appraisal Organization, this is your seven digit reporting number. b) Name information – This is to be filled out by your point of contact. c) Organization name – This is the name that appears on your school license or provider permit. Business Mailing Address This is where all correspondence concerning this application will be mailed. Contact Information This is the most direct way for our staff to communicate with the person within your organization responsible for submitting this application (your point of contact). This information is not given to the public; it is strictly used for communications concerning your application. Physical Business Address If your mailing address is different from your physical location, you will need to fill this section out. Course Information a) Type of Education – This is where you select the educational requirement your course is intended to fulfill. • Continuing Education – licensees have three continuing educational requirements: “Specialty” credit, USPAP credit and “Law” credit. Courses can be created that fulfill the “specialty” requirement separately from the USPAP and law courses. b) Delivery Mechanism – Application requirements for delivery method depend on what type of educational credit you are requesting. When filling out this application, please be sure to indicate how this course will be presented to the students. c) Application Type – This indicates how you want to have your application evaluated by the department. • New – This is for an initial request to have a course approved under your School/Provider. • Renewal – This is to have a course renewed. Please note renewals can only be submitted 90 days prior to a courses expiration date. If your course approval has lapsed or will lapse within 30 days of submitting the application, you will need to file a new course application. • Update - This is used if you have made significant changes to your course and need to have it evaluated by the department prior to the 90 day renewal period. d) Course Title – This is the course name that will appear on any correspondence concerning this application, as well as on your approval letter. e) Course Number – This is a seven digit number assigned by the department and only relevant for Update and Renewal applications. f) Hours Requested – The number of hours you want your course to be evaluated/approved for. g) Title of Course Material – This information will appear on several different approval letters and is vital if you are using a course that was created by a course developer/publisher.
Required Signatures Real Estate School requires Permit Holder’s signature and Provider requires Point of Contact’s signature. DBPR RE-2090-1-FREAB – Request for Course Evaluation STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 1940 North Monroe Street Tallahassee, FL 32399-0750 Customer Contact Center: 850.487.1395 FAX: 850.488.8040 www.MyFloridaLicense.com REQUESTOR INFORMATION (permit holder or point of contact) Identifying Number (school permit or provider number – if applicable) Last Name First Middle Title Suffix Organization name BUSINESS MAILING ADDRESS Street Address or P.O. Box Suite or Office Number City State Zip Code (+4 optional) County (if Florida address) Country CONTACT INFORMATION Primary Phone Number Primary e-mail Address PHYSICAL BUSINESS ADDRESS Street Address or P.O. Box Suite or Office Number City State Zip Code (+4 optional) County (if Florida address) Country COURSE INFORMATION Type of Education (choose only one): Continuing Education: Pre Licensure: .. Florida Law Update .. National USPAP Update .. Specialty .. Combination .. Trainee .. National USPAP .. Certified Residential .. Certified General
Distance Continuing Education:
Post Licensure: .. Florida Law Update .. National USPAP Update .. Specialty .. Combination .. National USPAP .. Residential Topics
Application Type (choose only one) .. - NEW .. - RENEWAL .. - UPDATE Course Title Course Number Hours Requested Title of Source Material Permit Holder/Point of Contact: I affirm that I have provided the above information completely and truthfully to the best of my knowledge. Print Name: Submitted by (signature): Date:
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